| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.00 | $18.34 | $302.39 | |
Cigna
| Facility | $17.84 | $17.84 | $17.84 | |
Cigna
| Professional | $16.52 | $16.52 | $17.84 | |
Providence
| Facility | $17.84 | $17.84 | $17.84 | |
Providence
| Professional | $16.52 | $17.92 | $23.37 | |
United
| Professional | $16.52 | $16.52 | $16.52 |