| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.39 | $102.88 | $102.88 | |
Cigna
| Facility | $23.20 | $31.20 | $47.28 | |
Cigna
| Professional | $8.17 | $22.72 | $23.20 | |
Providence
| Facility | $17.43 | $27.20 | $47.28 | |
Providence
| Professional | $14.40 | $14.40 | $23.20 | |
United
| Professional | $6.72 | $6.72 | $16.48 |