| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.91 | $82.93 | $82.93 | |
Cigna
| Facility | $16.30 | $29.83 | $29.83 | |
Cigna
| Professional | $16.30 | $24.25 | $29.83 | |
Providence
| Facility | $14.34 | $28.41 | $29.83 | |
Providence
| Professional | $16.30 | $22.39 | $31.01 | |
United
| Professional | $11.60 | $12.83 | $20.36 |