| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.31 | $28.98 | $136.13 | |
Cigna
| Facility | $49.54 | $49.54 | $49.54 | |
Cigna
| Professional | $19.25 | $49.54 | $49.54 | |
Providence
| Facility | $44.90 | $49.54 | $142.31 | |
Providence
| Professional | $37.18 | $37.18 | $55.28 | |
United
| Professional | $19.04 | $20.01 | $22.90 |