| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.41 | $164.42 | $164.42 | |
Cigna
| Facility | $38.36 | $75.56 | $145.75 | |
Cigna
| Professional | $13.44 | $29.32 | $36.65 | |
Providence
| Facility | $28.51 | $49.86 | $75.56 | |
Providence
| Professional | $23.01 | $23.01 | $30.68 | |
United
| Professional | $10.74 | $10.74 | $26.97 |