| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.11 | $49.63 | $500.13 | |
Cigna
| Facility | $112.78 | $151.66 | $229.84 | |
Cigna
| Professional | $25.86 | $111.51 | $112.78 | |
Providence
| Facility | $112.78 | $151.66 | $229.84 | |
Providence
| Professional | $70.00 | $70.00 | $112.78 | |
United
| Professional | $21.58 | $32.67 | $77.78 |