| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.10 | $21.19 | $56.78 | |
Cigna
| Facility | $20.84 | $20.84 | $67.45 | |
Cigna
| Professional | $18.44 | $18.44 | $20.84 | |
Providence
| Facility | $20.84 | $20.84 | $67.45 | |
Providence
| Professional | $18.44 | $20.01 | $26.10 | |
United
| Professional | $18.44 | $18.44 | $18.44 |