| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.34 | $27.38 | $27.38 | |
Cigna
| Professional | $20.52 | $31.65 | $37.84 | |
Providence
| Facility | $19.97 | $123.69 | $176.83 | |
Providence
| Professional | $19.73 | $29.60 | $34.18 | |
United
| Professional | $28.42 | $34.22 | $74.40 |