| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.34 | $38.97 | $126.66 | |
Cigna
| Facility | $46.10 | $46.10 | $46.10 | |
Cigna
| Professional | $17.91 | $46.10 | $46.10 | |
Providence
| Facility | $41.78 | $46.10 | $91.71 | |
Providence
| Professional | $34.60 | $34.60 | $51.44 | |
United
| Professional | $17.72 | $18.62 | $21.31 |