| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.96 | $2.96 | $10.00 | |
Cigna
| Facility | $2.19 | $2.19 | $2.19 | |
Cigna
| Professional | $2.19 | $2.19 | $2.19 | |
Providence
| Facility | $1.48 | $2.83 | $4.62 | |
Providence
| Professional | $2.19 | $2.19 | $2.19 | |
United
| Professional | $3.57 | $3.57 | $3.57 |