| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.36 | $1.36 | $1.36 | |
Cigna
| Facility | $1.76 | $2.62 | $6.69 | |
Cigna
| Professional | $1.10 | $1.10 | $2.10 | |
Providence
| Facility | $1.76 | $2.62 | $6.69 | |
Providence
| Professional | $1.29 | $1.55 | $2.16 | |
United
| Professional | $235.83 | $235.83 | $235.83 |