| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.34 | $16.07 | $77.31 | |
Cigna
| Facility | $28.13 | $28.13 | $28.13 | |
Cigna
| Professional | $10.93 | $28.13 | $28.13 | |
Providence
| Facility | $20.13 | $25.50 | $28.13 | |
Providence
| Professional | $19.87 | $21.11 | $31.39 | |
United
| Professional | $10.28 | $11.36 | $13.01 |