| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.23 | $20.01 | $100.55 | |
Cigna
| Facility | $28.92 | $34.31 | $60.24 | |
Cigna
| Professional | $19.02 | $31.55 | $75.88 | |
Providence
| Facility | $17.01 | $28.92 | $58.19 | |
Providence
| Professional | $20.01 | $33.92 | $51.52 | |
United
| Professional | $26.95 | $32.50 | $54.88 |