| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.10 | $25.02 | $139.91 | |
Cigna
| Facility | $32.64 | $64.30 | $124.03 | |
Cigna
| Professional | $8.17 | $24.78 | $30.98 | |
Providence
| Facility | $32.64 | $64.30 | $124.03 | |
Providence
| Professional | $19.57 | $19.57 | $27.20 | |
United
| Professional | $6.86 | $9.14 | $21.76 |