| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.33 | $9.33 | $25.10 | |
Cigna
| Facility | $14.10 | $16.30 | $19.28 | |
Cigna
| Professional | $10.33 | $10.33 | $16.30 | |
Providence
| Facility | $14.10 | $16.30 | $19.28 | |
Providence
| Professional | $10.16 | $12.35 | $18.86 | |
United
| Professional | $11.80 | $11.80 | $12.53 |