| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.78 | $60.25 | $60.25 | |
Cigna
| Facility | $13.59 | $18.27 | $27.69 | |
Cigna
| Professional | $3.40 | $13.42 | $13.59 | |
Providence
| Facility | $13.59 | $18.27 | $27.69 | |
Providence
| Professional | $8.43 | $8.43 | $13.59 | |
United
| Professional | $4.09 | $5.62 | $16.04 |