| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.97 | $13.24 | $27.59 | |
Cigna
| Facility | $11.98 | $11.98 | $30.84 | |
Cigna
| Professional | $10.98 | $10.98 | $11.98 | |
Providence
| Facility | $11.98 | $11.98 | $30.84 | |
Providence
| Professional | $10.98 | $11.91 | $15.54 | |
United
| Professional | $10.98 | $10.98 | $10.98 |