| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.85 | $17.85 | $17.85 | |
Aetna
| Professional | $16.23 | $16.23 | $17.85 | |
Cigna
| Facility | $16.64 | $16.64 | $16.64 | |
Cigna
| Professional | $16.64 | $16.64 | $16.64 | |
Providence
| Facility | $14.18 | $16.64 | $16.64 | |
Providence
| Professional | $16.64 | $16.64 | $16.64 | |
United
| Professional | $17.30 | $18.38 | $23.60 |