| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.75 | $56.77 | $56.77 | |
Cigna
| Facility | $13.34 | $20.65 | $20.65 | |
Cigna
| Professional | $13.34 | $16.80 | $20.65 | |
Providence
| Facility | $10.97 | $19.67 | $20.65 | |
Providence
| Professional | $13.34 | $15.51 | $20.68 | |
United
| Professional | $8.86 | $9.82 | $13.09 |