| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.37 | $108.28 | $108.28 | |
Cigna
| Facility | $24.42 | $32.84 | $49.76 | |
Cigna
| Professional | $11.57 | $24.26 | $24.42 | |
Providence
| Facility | $24.42 | $28.63 | $49.76 | |
Providence
| Professional | $15.16 | $15.16 | $24.42 | |
United
| Professional | $7.07 | $7.07 | $16.84 |