| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.21 | $74.67 | $74.67 | |
Cigna
| Facility | $15.54 | $21.58 | $24.42 | |
Cigna
| Professional | $15.54 | $18.29 | $24.42 | |
Providence
| Facility | $12.59 | $23.26 | $24.42 | |
Providence
| Professional | $15.54 | $18.32 | $24.43 | |
United
| Facility | $8.71 | $8.71 | $12.80 | |
United
| Professional | $9.92 | $10.97 | $12.56 |