| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.98 | $61.41 | $61.41 | |
Cigna
| Facility | $13.85 | $18.62 | $28.22 | |
Cigna
| Professional | $4.93 | $13.85 | $13.94 | |
Providence
| Facility | $10.32 | $16.23 | $28.22 | |
Providence
| Professional | $8.60 | $8.60 | $13.85 | |
United
| Professional | $4.01 | $4.01 | $9.75 |