| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.26 | $7.26 | $17.50 | |
Cigna
| Professional | $119.58 | $201.47 | $255.12 | |
Providence
| Facility | $6.17 | $7.26 | $7.26 |
Addl Supl Matrl&Staf Tm Drg Phe Res-Tr Nfct Ds
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.26 | $7.26 | $17.50 | |
Cigna
| Professional | $119.58 | $201.47 | $255.12 | |
Providence
| Facility | $6.17 | $7.26 | $7.26 |