| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.81 | $32.31 | $32.31 | |
Cigna
| Facility | $11.76 | $11.76 | $11.76 | |
Cigna
| Professional | $11.76 | $11.76 | $11.76 | |
Providence
| Facility | $11.76 | $11.76 | $11.76 | |
Providence
| Professional | $8.83 | $8.83 | $11.76 | |
United
| Professional | $12.12 | $14.61 | $16.51 |