| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.22 | $23.53 | $60.03 | |
Cigna
| Professional | $25.08 | $35.90 | $68.34 | |
Providence
| Facility | $13.81 | $25.81 | $52.55 | |
Providence
| Professional | $19.28 | $30.85 | $68.34 | |
United
| Professional | $60.76 | $70.68 | $86.80 |