| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.51 | $16.51 | $16.51 | |
Cigna
| Facility | $30.06 | $30.06 | $56.84 | |
Cigna
| Professional | $30.06 | $30.96 | $55.73 | |
Providence
| Facility | $17.55 | $34.63 | $56.84 | |
Providence
| Professional | $30.06 | $51.44 | $66.78 | |
United
| Professional | $21.65 | $22.95 | $27.83 |