| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.55 | $17.57 | $17.57 | |
Cigna
| Professional | $13.23 | $20.57 | $24.22 | |
Providence
| Facility | $12.90 | $240.87 | $365.24 | |
Providence
| Professional | $12.62 | $18.93 | $22.08 | |
United
| Professional | $18.87 | $21.82 | $113.68 |