| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.15 | $15.15 | $15.15 | |
Cigna
| Facility | $13.67 | $13.67 | $13.67 | |
Cigna
| Professional | $11.62 | $13.67 | $13.67 | |
Providence
| Facility | $6.85 | $10.96 | $17.73 | |
Providence
| Professional | $6.20 | $8.22 | $22.01 | |
United
| Professional | $6.93 | $6.93 | $6.93 |