| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.51 | $9.27 | $16.62 | |
Cigna
| Facility | $25.76 | $25.76 | $25.76 | |
Cigna
| Professional | $13.47 | $25.76 | $25.76 | |
Providence
| Facility | $15.27 | $29.73 | $29.73 | |
Providence
| Professional | $15.85 | $23.78 | $36.25 | |
United
| Professional | $9.52 | $10.61 | $10.61 |