| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.37 | $0.37 | $0.37 | |
Cigna
| Facility | $4.73 | $4.73 | $4.73 | |
Cigna
| Professional | $4.73 | $4.73 | $4.73 | |
Providence
| Facility | $4.73 | $4.73 | $4.73 | |
Providence
| Professional | $2.91 | $4.37 | $6.66 | |
United
| Professional | $4.25 | $4.25 | $4.25 |