| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.06 | $12.63 | $24.24 | |
Aetna
| Professional | $6.06 | $10.10 | $10.10 | |
Cigna
| Professional | $9.50 | $9.50 | $11.87 | |
Providence
| Facility | $4.20 | $7.68 | $10.10 | |
Providence
| Professional | $6.63 | $8.08 | $8.08 | |
United
| Professional | $3.39 | $3.39 | $4.84 |