| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.61 | $19.00 | $20.20 | |
Cigna
| Facility | $12.05 | $13.39 | $13.39 | |
Cigna
| Professional | $7.83 | $10.85 | $13.39 | |
Providence
| Facility | $4.61 | $19.00 | $20.97 | |
Providence
| Professional | $7.83 | $10.85 | $39.47 | |
United
| Professional | $8.16 | $10.00 | $11.54 |