| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.78 | $13.78 | $40.92 | |
Cigna
| Facility | $13.64 | $13.64 | $50.72 | |
Cigna
| Professional | $13.06 | $13.06 | $13.64 | |
Providence
| Facility | $13.64 | $13.64 | $50.72 | |
Providence
| Professional | $13.06 | $14.17 | $18.48 | |
United
| Professional | $13.06 | $13.06 | $13.06 |