| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $80.50 | $80.50 | |
Cigna
| Facility | $18.14 | $24.41 | $37.00 | |
Cigna
| Professional | $8.68 | $18.07 | $18.14 | |
Providence
| Facility | $18.14 | $21.28 | $37.00 | |
Providence
| Professional | $11.27 | $12.52 | $18.14 | |
United
| Professional | $5.26 | $5.26 | $17.22 |