| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.32 | $108.02 | $108.02 | |
Cigna
| Facility | $24.36 | $32.76 | $49.64 | |
Cigna
| Professional | $8.51 | $24.26 | $24.36 | |
Providence
| Facility | $18.13 | $28.56 | $49.64 | |
Providence
| Professional | $15.12 | $15.12 | $24.36 | |
United
| Professional | $7.06 | $7.06 | $17.14 |