| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.43 | $22.43 | $22.43 | |
Cigna
| Facility | $22.08 | $36.71 | $93.56 | |
Cigna
| Professional | $22.97 | $22.97 | $22.97 | |
Providence
| Facility | $22.08 | $36.71 | $93.56 | |
Providence
| Professional | $14.72 | $22.65 | $27.02 | |
United
| Professional | $22.52 | $22.52 | $22.52 |