| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.75 | $2.75 | $18.00 | |
Cigna
| Facility | $3.81 | $3.81 | $20.09 | |
Cigna
| Professional | $3.54 | $3.54 | $3.81 | |
Providence
| Facility | $3.81 | $3.81 | $20.09 | |
Providence
| Professional | $3.54 | $3.84 | $7.58 | |
United
| Professional | $3.54 | $3.54 | $3.54 |