| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.40 | $110.26 | $117.98 | |
Cigna
| Facility | $31.02 | $31.02 | $40.63 | |
Cigna
| Professional | $20.84 | $34.18 | $45.16 | |
Providence
| Facility | $19.57 | $25.21 | $45.29 | |
Providence
| Professional | $21.38 | $32.89 | $42.09 | |
United
| Professional | $33.28 | $37.76 | $40.57 |