| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.25 | $30.90 | $42.25 | |
Cigna
| Facility | $31.02 | $31.02 | $61.52 | |
Cigna
| Professional | $31.02 | $34.52 | $61.52 | |
Providence
| Facility | $19.07 | $37.51 | $67.59 | |
Providence
| Professional | $31.02 | $51.79 | $91.20 | |
United
| Professional | $53.04 | $62.40 | $71.40 |