| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.20 | $28.20 | $78.52 | |
Cigna
| Facility | $34.27 | $44.96 | $61.45 | |
Cigna
| Professional | $28.88 | $28.88 | $28.88 | |
Providence
| Facility | $34.27 | $44.96 | $61.45 | |
Providence
| Professional | $28.88 | $33.97 | $55.96 | |
United
| Professional | $28.32 | $28.32 | $28.32 |