| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.52 | $99.24 | $99.24 | |
Cigna
| Facility | $20.66 | $36.11 | $36.11 | |
Cigna
| Professional | $21.28 | $36.11 | $36.11 | |
Providence
| Facility | $16.73 | $34.40 | $36.11 | |
Providence
| Professional | $24.31 | $27.11 | $36.14 | |
United
| Professional | $13.18 | $14.59 | $17.16 |