| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.79 | $8.33 | $40.04 | |
Cigna
| Facility | $14.57 | $14.57 | $14.57 | |
Cigna
| Professional | $7.09 | $14.57 | $14.57 | |
Providence
| Facility | $10.41 | $13.21 | $14.57 | |
Providence
| Professional | $10.94 | $10.94 | $16.26 | |
United
| Professional | $5.32 | $5.89 | $6.74 |