| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.86 | $60.70 | $60.70 | |
Cigna
| Facility | $13.69 | $18.41 | $27.90 | |
Cigna
| Professional | $4.59 | $13.42 | $13.69 | |
Providence
| Facility | $9.80 | $16.05 | $27.90 | |
Providence
| Professional | $8.50 | $8.50 | $13.69 | |
United
| Professional | $3.86 | $3.96 | $9.44 |