| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.21 | $29.37 | $29.93 | |
Cigna
| Facility | $26.54 | $26.54 | $122.42 | |
Cigna
| Professional | $25.22 | $26.54 | $26.94 | |
Providence
| Facility | $10.56 | $26.54 | $62.14 | |
Providence
| Professional | $26.54 | $29.23 | $41.62 | |
United
| Professional | $26.94 | $26.94 | $26.94 |