| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.63 | $34.11 | $61.44 | |
Aetna
| Professional | $16.63 | $24.71 | $110.26 | |
Cigna
| Professional | $11.21 | $30.02 | $38.84 | |
Providence
| Facility | $21.68 | $26.62 | $31.99 | |
Providence
| Professional | $20.95 | $32.50 | $41.28 | |
United
| Professional | $23.66 | $32.77 | $41.60 |