| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.26 | $16.77 | $23.43 | |
Cigna
| Facility | $28.39 | $28.39 | $28.39 | |
Cigna
| Professional | $23.81 | $28.39 | $28.39 | |
Providence
| Facility | $13.69 | $19.07 | $28.39 | |
Providence
| Professional | $16.14 | $25.21 | $29.66 | |
United
| Professional | $24.91 | $31.27 | $38.26 |