| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.71 | $12.71 | $12.78 | |
Cigna
| Facility | $17.88 | $17.88 | $17.88 | |
Cigna
| Professional | $8.94 | $8.94 | $17.88 | |
Providence
| Facility | $17.88 | $17.88 | $17.88 | |
Providence
| Professional | $8.94 | $16.14 | $21.38 | |
United
| Professional | $15.40 | $15.40 | $15.40 |