| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.00 | $72.66 | $72.66 | |
Cigna
| Facility | $16.39 | $22.04 | $33.39 | |
Cigna
| Professional | $7.83 | $16.39 | $16.52 | |
Providence
| Facility | $16.39 | $19.21 | $33.39 | |
Providence
| Professional | $10.17 | $10.17 | $16.39 | |
United
| Professional | $4.75 | $4.88 | $19.35 |