| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.48 | $38.96 | $48.53 | |
Cigna
| Facility | $48.90 | $48.90 | $58.13 | |
Cigna
| Professional | $44.01 | $48.90 | $73.47 | |
Providence
| Facility | $18.48 | $48.53 | $58.13 | |
Providence
| Professional | $48.90 | $48.90 | $73.47 | |
United
| Professional | $21.17 | $21.81 | $51.84 |