| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.72 | $246.89 | $246.89 | |
Cigna
| Facility | $65.20 | $79.39 | $79.39 | |
Cigna
| Professional | $65.20 | $69.53 | $79.39 | |
Providence
| Facility | $42.15 | $75.61 | $79.39 | |
Providence
| Professional | $59.59 | $65.20 | $81.45 | |
United
| Professional | $34.09 | $37.72 | $43.18 |