| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.45 | $25.05 | $25.05 | |
Cigna
| Facility | $5.59 | $9.10 | $9.10 | |
Cigna
| Professional | $5.59 | $7.42 | $9.10 | |
Providence
| Facility | $4.23 | $8.67 | $9.10 | |
Providence
| Professional | $5.76 | $6.84 | $9.11 | |
United
| Professional | $3.33 | $3.68 | $4.21 |