| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.66 | $20.87 | $29.55 | |
Cigna
| Professional | $12.15 | $12.15 | $12.15 | |
Providence
| Facility | $14.37 | $18.48 | $25.31 | |
Providence
| Professional | $12.15 | $22.16 | $10,000.00 | |
United
| Professional | $11.41 | $12.62 | $18.12 |