| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.46 | $21.46 | $21.46 | |
Cigna
| Facility | $11.72 | $11.72 | $11.72 | |
Cigna
| Professional | $9.50 | $11.72 | $11.87 | |
Providence
| Facility | $11.72 | $11.72 | $11.72 | |
Providence
| Professional | $8.08 | $9.69 | $11.72 | |
United
| Professional | $3.39 | $3.39 | $8.08 |