| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $89.13 | $89.13 | |
Aetna
| Professional | $18.20 | $20.89 | $32.36 | |
Cigna
| Facility | $17.78 | $17.78 | $17.78 | |
Cigna
| Professional | $31.62 | $31.62 | $38.90 | |
Providence
| Facility | $17.78 | $25.70 | $32.36 | |
Providence
| Professional | $26.92 | $26.92 | $26.92 | |
United
| Facility | $24.55 | $24.55 | $24.55 | |
United
| Professional | $11.48 | $11.48 | $16.22 |