| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.43 | $86.29 | $86.29 | |
Cigna
| Facility | $19.46 | $26.17 | $39.65 | |
Cigna
| Professional | $8.17 | $19.10 | $19.46 | |
Providence
| Facility | $17.43 | $22.81 | $39.65 | |
Providence
| Professional | $12.08 | $12.08 | $19.46 | |
United
| Professional | $5.64 | $5.64 | $16.48 |