| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.09 | $19.94 | $95.88 | |
Cigna
| Facility | $34.89 | $34.89 | $34.89 | |
Cigna
| Professional | $13.56 | $34.89 | $34.89 | |
Providence
| Facility | $24.95 | $31.63 | $34.89 | |
Providence
| Professional | $24.64 | $26.19 | $38.94 | |
United
| Professional | $12.73 | $14.09 | $16.13 |