| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.11 | $4.11 | $4.36 | |
Cigna
| Facility | $5.78 | $5.78 | $5.78 | |
Cigna
| Professional | $3.49 | $3.49 | $5.78 | |
Providence
| Facility | $5.78 | $5.78 | $5.78 | |
Providence
| Professional | $3.49 | $3.49 | $5.78 | |
United
| Professional | $5.25 | $5.25 | $5.25 |