| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.58 | $12.58 | $12.58 | |
Cigna
| Facility | $11.04 | $11.04 | $24.25 | |
Cigna
| Professional | $11.04 | $12.89 | $12.89 | |
Providence
| Facility | $11.04 | $11.04 | $24.25 | |
Providence
| Professional | $7.36 | $11.32 | $14.92 | |
United
| Professional | $12.43 | $12.43 | $12.43 |