| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.27 | $16.88 | $16.88 | |
Cigna
| Facility | $17.29 | $17.29 | $17.29 | |
Cigna
| Professional | $16.04 | $17.29 | $17.29 | |
Providence
| Facility | $10.60 | $21.19 | $21.19 | |
Providence
| Professional | $17.29 | $20.34 | $21.19 |