| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $12.02 | $12.02 | |
Cigna
| Facility | $19.45 | $19.45 | $23.13 | |
Cigna
| Professional | $16.73 | $16.73 | $23.65 | |
Providence
| Facility | $19.45 | $19.45 | $23.13 | |
Providence
| Professional | $10.68 | $16.01 | $23.65 | |
United
| Professional | $15.37 | $17.98 | $21.12 |