| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $16.98 | $24.58 | |
Cigna
| Facility | $27.34 | $27.34 | $27.34 | |
Cigna
| Professional | $17.09 | $23.66 | $47.05 | |
Providence
| Facility | $16.57 | $21.72 | $35.04 | |
Providence
| Professional | $20.75 | $35.88 | $47.48 | |
United
| Professional | $25.00 | $29.59 | $35.71 |