| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.50 | $30.61 | $90.00 | |
Cigna
| Facility | $20.51 | $20.51 | $101.79 | |
Cigna
| Professional | $20.51 | $31.35 | $35.34 | |
Providence
| Facility | $17.14 | $29.50 | $51.67 | |
Providence
| Professional | $30.73 | $37.18 | $46.10 | |
United
| Professional | $30.73 | $30.73 | $30.73 |