| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.25 | $96.45 | $96.45 | |
Cigna
| Facility | $21.75 | $29.25 | $44.33 | |
Cigna
| Professional | $8.17 | $21.17 | $21.75 | |
Providence
| Facility | $17.43 | $25.50 | $44.33 | |
Providence
| Professional | $13.50 | $13.50 | $21.75 | |
United
| Professional | $6.30 | $6.30 | $16.48 |