| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.46 | $10.46 | $11.95 | |
Cigna
| Facility | $14.72 | $14.72 | $14.72 | |
Cigna
| Professional | $14.72 | $14.72 | $14.72 | |
Providence
| Facility | $14.72 | $14.72 | $14.72 | |
Providence
| Professional | $14.72 | $14.72 | $14.72 | |
United
| Professional | $14.40 | $14.40 | $14.40 |