| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.24 | $83.38 | $138.22 | |
Cigna
| Facility | $92.54 | $92.54 | $110.00 | |
Cigna
| Professional | $83.29 | $92.54 | $139.04 | |
Providence
| Facility | $34.24 | $92.54 | $138.22 | |
Providence
| Professional | $92.54 | $92.54 | $177.95 | |
United
| Professional | $76.87 | $80.75 | $136.32 |