| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.76 | $4.76 | $45.00 | |
Cigna
| Facility | $4.87 | $4.87 | $4.87 | |
Cigna
| Professional | $4.87 | $4.87 | $4.87 | |
Providence
| Facility | $4.68 | $4.87 | $4.87 | |
Providence
| Professional | $4.87 | $4.87 | $4.87 | |
United
| Professional | $5.73 | $5.73 | $5.73 |