| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.95 | $25.90 | $51.81 | |
Aetna
| Professional | $12.95 | $20.72 | $20.72 | |
Cigna
| Facility | $11.23 | $11.23 | $11.23 | |
Cigna
| Professional | $19.82 | $19.82 | $24.78 | |
Providence
| Facility | $11.23 | $16.41 | $20.72 | |
Providence
| Professional | $14.16 | $17.27 | $17.27 | |
United
| Professional | $7.25 | $7.25 | $10.36 |