| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.62 | $18.62 | $20.48 | |
Cigna
| Facility | $19.45 | $19.45 | $42.73 | |
Cigna
| Professional | $17.52 | $17.52 | $19.45 | |
Providence
| Facility | $19.45 | $19.45 | $42.73 | |
Providence
| Professional | $12.97 | $17.57 | $23.27 | |
United
| Professional | $18.62 | $21.04 | $22.34 |