| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.98 | $60.61 | $60.61 | |
Cigna
| Facility | $16.82 | $16.82 | $16.82 | |
Cigna
| Professional | $16.82 | $16.82 | $18.17 | |
Providence
| Facility | $6.25 | $11.37 | $22.28 | |
Providence
| Professional | $10.35 | $16.82 | $21.37 | |
United
| Professional | $8.22 | $9.82 | $19.14 |