| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.75 | $42.28 | $43.30 | |
Cigna
| Facility | $55.21 | $55.21 | $55.21 | |
Cigna
| Professional | $28.87 | $28.87 | $55.21 | |
Providence
| Facility | $34.78 | $50.94 | $63.88 | |
Providence
| Professional | $28.87 | $50.96 | $1,800,000.00 | |
United
| Professional | $40.53 | $40.53 | $40.53 |