| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.21 | $15.15 | $23.58 | |
Cigna
| Facility | $26.29 | $26.29 | $26.29 | |
Cigna
| Professional | $15.66 | $20.45 | $45.25 | |
Providence
| Facility | $15.60 | $19.67 | $32.99 | |
Providence
| Professional | $18.71 | $33.96 | $44.93 | |
United
| Professional | $21.42 | $24.37 | $29.00 |