| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.72 | $43.15 | $43.15 | |
Cigna
| Facility | $9.73 | $13.08 | $19.82 | |
Cigna
| Professional | $3.74 | $9.73 | $9.81 | |
Providence
| Facility | $9.73 | $13.08 | $19.82 | |
Providence
| Professional | $6.04 | $6.04 | $9.73 | |
United
| Professional | $2.82 | $2.82 | $7.50 |