| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.17 | $14.56 | $68.15 | |
Cigna
| Facility | $24.79 | $24.79 | $24.79 | |
Cigna
| Professional | $9.63 | $24.79 | $24.79 | |
Providence
| Facility | $22.48 | $24.79 | $71.47 | |
Providence
| Professional | $18.61 | $18.61 | $27.67 | |
United
| Professional | $9.52 | $10.01 | $11.47 |