| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.29 | $247.27 | $247.27 | |
Cigna
| Facility | $69.70 | $93.20 | $93.20 | |
Cigna
| Professional | $69.70 | $93.20 | $93.20 | |
Providence
| Facility | $43.73 | $88.76 | $93.20 | |
Providence
| Professional | $69.70 | $69.95 | $93.26 | |
United
| Professional | $35.36 | $39.13 | $62.06 |