| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.87 | $29.71 | $38.03 | |
Cigna
| Facility | $32.96 | $32.96 | $32.96 | |
Cigna
| Professional | $29.33 | $29.33 | $32.96 | |
Providence
| Facility | $32.96 | $32.96 | $32.96 | |
Providence
| Professional | $29.33 | $32.22 | $42.05 | |
United
| Professional | $28.75 | $28.75 | $30.53 |