| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.60 | $148.72 | $148.72 | |
Cigna
| Facility | $33.54 | $45.10 | $75.63 | |
Cigna
| Professional | $22.97 | $33.54 | $33.56 | |
Providence
| Facility | $32.49 | $39.32 | $75.63 | |
Providence
| Professional | $20.82 | $23.13 | $32.29 | |
United
| Professional | $9.71 | $9.71 | $23.13 |