| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.25 | $28.50 | $39.14 | |
Cigna
| Facility | $36.28 | $36.28 | $36.28 | |
Cigna
| Professional | $28.79 | $36.28 | $36.28 | |
Providence
| Facility | $19.98 | $35.00 | $42.77 | |
Providence
| Professional | $22.32 | $33.49 | $43.39 | |
United
| Professional | $37.01 | $43.39 | $61.35 |