| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.14 | $80.97 | $123.55 | |
Cigna
| Facility | $47.58 | $47.58 | $91.77 | |
Cigna
| Professional | $17.64 | $23.14 | $37.86 | |
Providence
| Facility | $42.90 | $44.28 | $91.77 | |
Providence
| Professional | $15.42 | $24.54 | $44.02 | |
United
| Professional | $31.02 | $39.75 | $64.75 |