| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.00 | $60.55 | $60.55 | |
Cigna
| Facility | $13.91 | $19.47 | $22.03 | |
Cigna
| Professional | $13.91 | $15.77 | $22.03 | |
Providence
| Facility | $10.22 | $20.98 | $22.03 | |
Providence
| Professional | $13.91 | $16.53 | $22.04 | |
United
| Professional | $8.03 | $8.90 | $10.47 |