| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.52 | $18.51 | $88.69 | |
Cigna
| Facility | $26.98 | $26.98 | $52.04 | |
Cigna
| Professional | $10.50 | $13.67 | $27.87 | |
Providence
| Facility | $26.98 | $30.55 | $52.04 | |
Providence
| Professional | $9.11 | $17.88 | $32.70 | |
United
| Professional | $23.97 | $28.20 | $48.10 |