| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.63 | $17.09 | $28.45 | |
Cigna
| Facility | $15.10 | $15.10 | $31.89 | |
Cigna
| Professional | $14.34 | $14.34 | $15.10 | |
Providence
| Facility | $15.10 | $15.10 | $31.89 | |
Providence
| Professional | $14.34 | $15.56 | $20.30 | |
United
| Professional | $14.34 | $14.34 | $14.34 |