| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.03 | $32.93 | $158.37 | |
Cigna
| Facility | $57.63 | $57.63 | $57.63 | |
Cigna
| Professional | $28.02 | $57.63 | $57.63 | |
Providence
| Facility | $41.20 | $52.24 | $57.63 | |
Providence
| Professional | $43.25 | $43.25 | $64.31 | |
United
| Professional | $21.03 | $23.27 | $38.79 |