| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.51 | $17.02 | $26.30 | |
Cigna
| Facility | $26.82 | $26.82 | $31.88 | |
Cigna
| Professional | $19.07 | $24.14 | $94.38 | |
Providence
| Facility | $15.90 | $26.30 | $198.00 | |
Providence
| Professional | $21.74 | $26.82 | $94.38 | |
United
| Professional | $18.09 | $25.50 | $30.18 |