| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $33.11 | $67.61 | |
Aetna
| Professional | $19.05 | $22.91 | $50.12 | |
Cigna
| Professional | $20.89 | $29.51 | $39.81 | |
Providence
| Facility | $21.38 | $26.30 | $33.11 | |
Providence
| Professional | $20.89 | $29.51 | $38.90 | |
United
| Professional | $23.44 | $31.62 | $38.02 |