| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.05 | $191.82 | $191.82 | |
Cigna
| Facility | $39.94 | $69.80 | $69.80 | |
Cigna
| Professional | $41.14 | $69.80 | $69.80 | |
Providence
| Facility | $32.35 | $66.48 | $69.80 | |
Providence
| Professional | $46.99 | $52.39 | $69.84 | |
United
| Professional | $25.48 | $28.19 | $33.17 |