| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.80 | $22.80 | $52.11 | |
Cigna
| Facility | $23.29 | $23.29 | $58.76 | |
Cigna
| Professional | $20.99 | $20.99 | $23.29 | |
Providence
| Facility | $23.29 | $23.29 | $58.76 | |
Providence
| Professional | $20.99 | $22.77 | $29.70 | |
United
| Professional | $20.99 | $20.99 | $20.99 |