| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.08 | $107.00 | $134.63 | |
Cigna
| Facility | $30.36 | $40.83 | $61.88 | |
Cigna
| Professional | $12.93 | $30.36 | $30.46 | |
Providence
| Facility | $27.36 | $35.60 | $61.88 | |
Providence
| Professional | $18.85 | $18.85 | $30.36 | |
United
| Professional | $8.78 | $8.78 | $25.89 |