| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.90 | $15.55 | $17.10 | |
Cigna
| Facility | $24.19 | $24.19 | $28.75 | |
Cigna
| Professional | $20.14 | $20.14 | $30.28 | |
Providence
| Facility | $24.19 | $24.19 | $28.75 | |
Providence
| Professional | $13.91 | $20.14 | $30.28 | |
United
| Professional | $18.55 | $21.45 | $25.60 |