| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.96 | $27.71 | $27.71 | |
Cigna
| Facility | $6.25 | $8.40 | $12.74 | |
Cigna
| Professional | $2.89 | $6.20 | $6.25 | |
Providence
| Facility | $6.25 | $7.33 | $12.74 | |
Providence
| Professional | $3.88 | $3.88 | $6.25 | |
United
| Professional | $1.81 | $1.81 | $4.30 |