| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.53 | $3.53 | $3.53 | |
Cigna
| Facility | $6.31 | $6.31 | $13.85 | |
Cigna
| Professional | $3.75 | $3.75 | $6.31 | |
Providence
| Facility | $6.31 | $6.31 | $13.85 | |
Providence
| Professional | $3.75 | $5.70 | $7.55 | |
United
| Professional | $3.75 | $3.75 | $3.75 |