| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.23 | $1.51 | $2.71 | |
Cigna
| Facility | $4.21 | $4.21 | $4.21 | |
Cigna
| Professional | $4.21 | $4.21 | $34.00 | |
Providence
| Facility | $2.49 | $5.05 | $5.05 | |
Providence
| Professional | $2.59 | $4.21 | $34.00 | |
United
| Professional | $1.55 | $1.73 | $1.73 |