| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.02 | $14.02 | $14.02 | |
Cigna
| Facility | $47.32 | $48.26 | $54.94 | |
Cigna
| Professional | $47.32 | $54.94 | $58.57 | |
Providence
| Facility | $15.04 | $47.32 | $54.94 | |
Providence
| Professional | $31.55 | $48.53 | $58.57 | |
United
| Professional | $18.80 | $19.48 | $29.25 |