| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.22 | $13.78 | $59.66 | |
Cigna
| Facility | $17.37 | $23.36 | $35.40 | |
Cigna
| Professional | $12.38 | $15.47 | $17.37 | |
Providence
| Facility | $17.37 | $23.36 | $35.40 | |
Providence
| Professional | $10.78 | $11.98 | $17.37 | |
United
| Professional | $5.03 | $5.03 | $16.48 |