| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.50 | $17.50 | $85.05 | |
Cigna
| Facility | $16.89 | $16.89 | $93.02 | |
Cigna
| Professional | $16.22 | $16.89 | $16.89 | |
Providence
| Facility | $16.22 | $16.89 | $93.02 | |
Providence
| Professional | $16.89 | $17.60 | $20.66 | |
United
| Professional | $16.22 | $16.22 | $16.22 |