| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.23 | $5.04 | $5.04 | |
Aetna
| Professional | $3.23 | $4.09 | $8.36 | |
Cigna
| Facility | $3.23 | $3.23 | $3.23 | |
Cigna
| Professional | $3.23 | $3.23 | $3.23 | |
Providence
| Facility | $3.22 | $3.23 | $3.23 | |
Providence
| Professional | $3.23 | $3.23 | $3.23 | |
United
| Professional | $3.23 | $3.23 | $3.23 |