| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.59 | $69.23 | $69.23 | |
Cigna
| Facility | $15.93 | $22.27 | $25.19 | |
Cigna
| Professional | $15.93 | $25.19 | $25.19 | |
Providence
| Facility | $11.68 | $23.99 | $25.19 | |
Providence
| Professional | $16.96 | $18.91 | $25.21 | |
United
| Professional | $9.19 | $10.18 | $13.74 |