| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.26 | $20.21 | $97.16 | |
Cigna
| Facility | $35.36 | $35.36 | $35.36 | |
Cigna
| Professional | $13.74 | $35.36 | $35.36 | |
Providence
| Facility | $32.06 | $35.36 | $60.09 | |
Providence
| Professional | $26.54 | $26.54 | $39.47 | |
United
| Professional | $13.58 | $14.28 | $16.35 |