| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.78 | $22.25 | $37.96 | |
Cigna
| Facility | $20.05 | $20.05 | $41.57 | |
Cigna
| Professional | $18.14 | $18.14 | $20.05 | |
Providence
| Facility | $20.05 | $20.05 | $41.57 | |
Providence
| Professional | $18.14 | $19.69 | $25.68 | |
United
| Professional | $18.14 | $18.14 | $18.14 |