| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.15 | $12.28 | $27.87 | |
Cigna
| Facility | $37.33 | $37.33 | $37.33 | |
Cigna
| Professional | $21.43 | $37.33 | $37.33 | |
Providence
| Facility | $9.25 | $19.48 | $34.24 | |
Providence
| Professional | $11.57 | $25.77 | $42.88 | |
United
| Professional | $13.92 | $20.72 | $26.70 |