| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.95 | $23.81 | $23.81 | |
Cigna
| Facility | $19.30 | $19.30 | $24.39 | |
Cigna
| Professional | $18.35 | $24.39 | $24.39 | |
Providence
| Facility | $16.91 | $16.91 | $35.85 | |
Providence
| Professional | $18.35 | $34.42 | $35.85 | |
United
| Professional | $28.69 | $28.69 | $28.69 |