| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.10 | $12.22 | $226.92 | |
Cigna
| Facility | $51.17 | $68.81 | $104.28 | |
Cigna
| Professional | $8.17 | $50.59 | $51.17 | |
Providence
| Facility | $17.43 | $59.99 | $104.28 | |
Providence
| Professional | $31.76 | $31.76 | $51.17 | |
United
| Professional | $6.86 | $14.82 | $35.29 |