| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.86 | $138.13 | $138.13 | |
Cigna
| Facility | $27.38 | $52.01 | $52.01 | |
Cigna
| Professional | $27.38 | $52.01 | $52.01 | |
Providence
| Facility | $24.43 | $49.53 | $52.01 | |
Providence
| Professional | $27.38 | $39.03 | $52.04 | |
United
| Professional | $19.76 | $21.86 | $33.46 |