| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.75 | $43.45 | $59.76 | |
Cigna
| Facility | $16.30 | $16.30 | $67.38 | |
Cigna
| Professional | $16.30 | $35.54 | $35.54 | |
Providence
| Facility | $16.30 | $16.30 | $67.38 | |
Providence
| Professional | $35.54 | $38.57 | $50.31 | |
United
| Professional | $35.54 | $35.54 | $35.54 |