| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.53 | $66.84 | $125.14 | |
Aetna
| Professional | 26 | $36.86 | $37.39 | $66.06 |
Cigna
| Professional | $54.68 | $83.60 | $140.43 | |
Cigna
| Professional | 26 | $35.99 | $53.22 | $125.47 |
Providence
| Professional | $54.68 | $100.69 | $173.16 | |
Providence
| Professional | 26 | $33.42 | $42.31 | $81.25 |
United
| Professional | $95.37 | $108.46 | $123.42 | |
United
| Professional | 26 | $54.05 | $62.53 | $72.06 |