| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.86 | $123.95 | $123.95 | |
Cigna
| Facility | $25.81 | $45.11 | $45.11 | |
Cigna
| Professional | $26.58 | $45.11 | $45.11 | |
Providence
| Facility | $20.91 | $42.96 | $45.11 | |
Providence
| Professional | $30.36 | $33.86 | $45.14 | |
United
| Professional | $16.47 | $18.22 | $20.86 |