| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.69 | $56.28 | $56.28 | |
Cigna
| Facility | $12.18 | $19.27 | $19.27 | |
Cigna
| Professional | $12.18 | $15.67 | $19.27 | |
Providence
| Facility | $10.22 | $18.35 | $19.27 | |
Providence
| Professional | $12.18 | $14.45 | $19.27 | |
United
| Professional | $8.27 | $9.15 | $12.20 |