| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.10 | $101.21 | $101.21 | |
Cigna
| Facility | $22.82 | $30.69 | $46.51 | |
Cigna
| Professional | $10.89 | $22.72 | $22.82 | |
Providence
| Facility | $22.82 | $26.76 | $46.51 | |
Providence
| Professional | $14.17 | $14.17 | $22.82 | |
United
| Professional | $6.61 | $6.61 | $21.63 |