| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.91 | $30.00 | $30.72 | |
Cigna
| Facility | $26.82 | $26.82 | $58.90 | |
Cigna
| Professional | $26.82 | $30.72 | $30.72 | |
Providence
| Facility | $8.97 | $26.82 | $37.50 | |
Providence
| Professional | $24.75 | $36.00 | $37.50 | |
United
| Professional | $30.00 | $30.00 | $30.00 |