| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.78 | $31.39 | $37.61 | |
Cigna
| Facility | $38.69 | $38.69 | $38.69 | |
Cigna
| Professional | $30.78 | $30.78 | $38.69 | |
Providence
| Facility | $30.78 | $37.24 | $38.69 | |
Providence
| Professional | $33.72 | $37.99 | $41.54 | |
United
| Professional | $30.78 | $30.78 | $30.78 |