| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.48 | $22.13 | $22.13 | |
Cigna
| Facility | $19.78 | $19.78 | $45.99 | |
Cigna
| Professional | $18.16 | $18.16 | $19.78 | |
Providence
| Facility | $19.78 | $19.78 | $45.99 | |
Providence
| Professional | $18.16 | $19.70 | $25.70 | |
United
| Professional | $18.16 | $18.16 | $18.16 |