| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.90 | $5.67 | $30.34 | |
Cigna
| Facility | $7.11 | $7.11 | $33.90 | |
Cigna
| Professional | $4.50 | $4.50 | $7.11 | |
Providence
| Facility | $7.11 | $7.11 | $33.90 | |
Providence
| Professional | $4.50 | $4.88 | $11.23 | |
United
| Professional | $4.50 | $4.50 | $4.50 |