| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.36 | $21.28 | $36.72 | |
Cigna
| Facility | $19.05 | $19.05 | $41.12 | |
Cigna
| Professional | $16.84 | $16.84 | $19.05 | |
Providence
| Facility | $19.05 | $19.05 | $41.12 | |
Providence
| Professional | $16.84 | $18.27 | $23.84 | |
United
| Professional | $16.84 | $16.84 | $16.84 |