| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.20 | $2.20 | $2.20 | |
Cigna
| Facility | $4.21 | $4.21 | $9.24 | |
Cigna
| Professional | $2.65 | $2.65 | $4.21 | |
Providence
| Facility | $4.21 | $4.21 | $9.24 | |
Providence
| Professional | $2.65 | $2.65 | $4.21 | |
United
| Professional | $2.65 | $2.65 | $2.65 |