| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.74 | $18.85 | $18.85 | |
Cigna
| Facility | $24.68 | $24.68 | $68.14 | |
Cigna
| Professional | $16.07 | $16.07 | $24.68 | |
Providence
| Facility | $24.68 | $24.68 | $68.14 | |
Providence
| Professional | $16.07 | $17.45 | $72.00 | |
United
| Professional | $16.07 | $16.07 | $16.07 |