| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.79 | $13.79 | $13.79 | |
Aetna
| Professional | $12.05 | $12.05 | $13.79 | |
Cigna
| Facility | $12.34 | $12.34 | $12.34 | |
Cigna
| Professional | $12.34 | $12.34 | $12.34 | |
Providence
| Facility | $11.64 | $12.34 | $12.34 | |
Providence
| Professional | $12.34 | $12.34 | $12.34 | |
United
| Professional | $12.10 | $12.10 | $12.10 |