| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.95 | $12.09 | $23.08 | |
Cigna
| Facility | $33.40 | $34.84 | $126.96 | |
Cigna
| Professional | $9.81 | $11.87 | $53.91 | |
Providence
| Facility | $10.00 | $14.69 | $35.59 | |
Providence
| Professional | $18.76 | $28.15 | $42.17 | |
United
| Professional | $4.18 | $8.64 | $10.66 |