| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.06 | $114.48 | $114.48 | |
Cigna
| Facility | $19.37 | $31.31 | $35.42 | |
Cigna
| Professional | $19.37 | $28.04 | $35.42 | |
Providence
| Facility | $19.30 | $33.72 | $35.42 | |
Providence
| Professional | $19.37 | $26.68 | $35.45 | |
United
| Professional | $15.21 | $16.82 | $19.26 |