| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.42 | $63.85 | $63.85 | |
Cigna
| Facility | $14.40 | $19.36 | $29.34 | |
Cigna
| Professional | $5.27 | $14.40 | $14.46 | |
Providence
| Facility | $11.06 | $16.88 | $29.34 | |
Providence
| Professional | $8.94 | $8.94 | $14.40 | |
United
| Professional | $4.17 | $4.17 | $10.46 |