| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.55 | $18.67 | $18.67 | |
Cigna
| Facility | $3.88 | $6.78 | $6.78 | |
Cigna
| Professional | $4.00 | $6.78 | $6.78 | |
Providence
| Facility | $3.14 | $6.46 | $6.78 | |
Providence
| Professional | $4.57 | $5.09 | $6.79 | |
United
| Professional | $2.47 | $2.74 | $3.23 |