| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.94 | $72.34 | $72.34 | |
Cigna
| Facility | $16.30 | $21.94 | $33.24 | |
Cigna
| Professional | $3.74 | $16.30 | $16.52 | |
Providence
| Facility | $8.00 | $19.13 | $33.24 | |
Providence
| Professional | $10.13 | $10.13 | $16.30 | |
United
| Professional | $3.15 | $4.73 | $11.25 |