| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $28.84 | $151.36 | $288.40 |
Cigna
| Facility | 26 | $44.67 | $44.67 | $54.95 |
Cigna
| Professional | 26 | $19.95 | $35.48 | $85.11 |
Providence
| Facility | 26 | $44.67 | $44.67 | $54.95 |
Providence
| Professional | 26 | $30.20 | $41.69 | $60.26 |
United
| Professional | 26 | $26.92 | $27.54 | $53.70 |