| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.06 | $128.91 | $128.91 | |
Cigna
| Facility | $29.07 | $34.09 | $114.29 | |
Cigna
| Professional | $13.78 | $29.07 | $29.07 | |
Providence
| Facility | $29.07 | $34.09 | $114.29 | |
Providence
| Professional | $18.05 | $18.05 | $29.07 | |
United
| Professional | $8.42 | $8.42 | $20.05 |