| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.95 | $89.18 | $89.18 | |
Cigna
| Facility | $20.11 | $27.05 | $40.99 | |
Cigna
| Professional | $9.52 | $20.11 | $20.13 | |
Providence
| Facility | $20.11 | $23.58 | $40.99 | |
Providence
| Professional | $12.48 | $12.48 | $20.11 | |
United
| Professional | $5.83 | $5.83 | $19.05 |