| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.27 | $12.41 | $15.36 | |
Cigna
| Facility | $17.41 | $17.41 | $65.62 | |
Cigna
| Professional | $12.28 | $12.28 | $17.41 | |
Providence
| Facility | $12.28 | $17.41 | $37.75 | |
Providence
| Professional | $12.28 | $18.79 | $32.46 | |
United
| Professional | $12.28 | $12.28 | $12.28 |