| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.09 | $9.09 | $24.58 | |
Cigna
| Facility | $6.84 | $6.84 | $19.21 | |
Cigna
| Professional | $6.84 | $9.31 | $9.31 | |
Providence
| Facility | $6.84 | $6.84 | $19.21 | |
Providence
| Professional | $6.84 | $9.31 | $9.31 | |
United
| Professional | $10.95 | $10.95 | $10.95 |