| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.89 | $13.04 | $13.04 | |
Cigna
| Facility | $11.59 | $11.59 | $25.95 | |
Cigna
| Professional | $10.76 | $10.76 | $11.59 | |
Providence
| Facility | $11.59 | $11.59 | $25.95 | |
Providence
| Professional | $10.76 | $11.67 | $15.23 | |
United
| Professional | $10.76 | $10.76 | $10.76 |