| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.99 | $14.02 | $14.92 | |
Cigna
| Facility | $14.13 | $14.13 | $65.95 | |
Cigna
| Professional | $12.86 | $14.13 | $14.13 | |
Providence
| Facility | $11.39 | $13.25 | $33.47 | |
Providence
| Professional | $13.43 | $13.95 | $18.20 | |
United
| Professional | $12.86 | $12.86 | $12.86 |