| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.63 | $5.75 | $27.66 | |
Cigna
| Facility | $10.07 | $10.07 | $10.07 | |
Cigna
| Professional | $4.88 | $10.07 | $10.07 | |
Providence
| Facility | $7.21 | $9.13 | $10.07 | |
Providence
| Professional | $7.56 | $7.56 | $11.24 | |
United
| Professional | $3.68 | $4.05 | $4.66 |