| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.42 | $27.37 | $69.59 | |
Cigna
| Facility | $26.61 | $26.61 | $78.43 | |
Cigna
| Professional | $21.48 | $21.48 | $26.61 | |
Providence
| Facility | $26.61 | $26.61 | $78.43 | |
Providence
| Professional | $21.48 | $23.31 | $30.41 | |
United
| Professional | $21.48 | $21.48 | $21.48 |