| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.99 | $40.54 | $134.53 | |
Cigna
| Professional | $43.53 | $63.84 | $159.32 | |
Providence
| Facility | $30.08 | $70.14 | $230.01 | |
Providence
| Professional | $32.25 | $54.13 | $159.32 | |
United
| Professional | $124.20 | $154.56 | $184.92 |