| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.08 | $52.38 | $113.66 | |
Cigna
| Facility | $49.25 | $49.25 | $127.78 | |
Cigna
| Professional | $43.19 | $43.19 | $49.25 | |
Providence
| Facility | $49.25 | $49.25 | $127.78 | |
Providence
| Professional | $43.19 | $46.86 | $61.13 | |
United
| Professional | $43.19 | $43.19 | $43.19 |