| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.35 | $17.19 | $17.19 | |
Cigna
| Facility | $16.36 | $16.36 | $16.36 | |
Cigna
| Professional | $14.23 | $14.23 | $16.36 | |
Providence
| Facility | $16.36 | $16.36 | $16.36 | |
Providence
| Professional | $14.23 | $15.44 | $20.14 | |
United
| Professional | $14.23 | $14.23 | $14.23 |