| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.18 | $21.98 | $58.85 | |
Cigna
| Facility | $28.69 | $28.69 | $28.69 | |
Cigna
| Professional | $22.51 | $22.51 | $25.38 | |
Providence
| Facility | $21.98 | $23.39 | $28.69 | |
Providence
| Professional | $22.51 | $27.59 | $36.67 | |
United
| Professional | $22.07 | $22.07 | $22.07 |