| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.63 | $283.11 | $283.11 | |
Cigna
| Facility | $63.84 | $85.86 | $130.11 | |
Cigna
| Professional | $12.42 | $62.98 | $63.84 | |
Providence
| Facility | $26.24 | $74.84 | $130.11 | |
Providence
| Professional | $39.63 | $39.63 | $63.84 | |
United
| Professional | $10.33 | $18.48 | $44.03 |