| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.52 | $21.80 | $21.80 | |
Cigna
| Facility | $33.65 | $33.65 | $40.00 | |
Cigna
| Professional | $28.31 | $28.31 | $42.14 | |
Providence
| Facility | $33.65 | $33.65 | $40.00 | |
Providence
| Professional | $19.09 | $28.31 | $42.14 | |
United
| Professional | $26.66 | $30.74 | $36.47 |