| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.33 | $31.13 | $174.06 | |
Cigna
| Facility | $39.25 | $52.79 | $79.98 | |
Cigna
| Professional | $5.95 | $39.24 | $39.25 | |
Providence
| Facility | $12.51 | $46.02 | $79.98 | |
Providence
| Professional | $24.36 | $24.36 | $39.25 | |
United
| Professional | $4.93 | $11.37 | $46.35 |