| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $81.20 | $105.60 | |
Cigna
| Facility | $84.26 | $84.26 | $84.26 | |
Cigna
| Professional | $72.52 | $72.52 | $84.26 | |
Providence
| Facility | $84.26 | $84.26 | $84.26 | |
Providence
| Professional | $72.52 | $80.09 | $104.46 | |
United
| Professional | $83.42 | $83.42 | $88.58 |