| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $12.88 | $120.86 | |
Cigna
| Facility | $43.98 | $43.98 | $43.98 | |
Cigna
| Professional | $17.09 | $43.98 | $43.98 | |
Providence
| Facility | $37.68 | $43.98 | $63.25 | |
Providence
| Professional | $33.01 | $33.01 | $49.09 | |
United
| Professional | $16.89 | $17.77 | $20.32 |