| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.60 | $45.73 | $45.73 | |
Cigna
| Facility | $9.23 | $14.71 | $16.64 | |
Cigna
| Professional | $9.23 | $11.90 | $16.64 | |
Providence
| Facility | $7.70 | $15.85 | $16.64 | |
Providence
| Professional | $9.23 | $12.49 | $16.66 | |
United
| Professional | $6.07 | $6.72 | $7.91 |