| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.04 | $68.03 | $72.40 | |
Cigna
| Facility | $72.26 | $72.26 | $72.26 | |
Cigna
| Professional | $62.41 | $72.26 | $72.26 | |
Providence
| Facility | $62.41 | $72.26 | $109.39 | |
Providence
| Professional | $67.70 | $67.70 | $109.39 | |
United
| Professional | $62.41 | $62.41 | $62.41 |