| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.46 | $7.14 | $7.14 | |
Aetna
| Professional | $4.46 | $5.67 | $10.51 | |
Cigna
| Facility | $4.46 | $4.46 | $4.46 | |
Cigna
| Professional | $4.46 | $4.46 | $4.46 | |
Providence
| Facility | $4.46 | $4.46 | $4.57 | |
Providence
| Professional | $4.46 | $4.46 | $4.46 | |
United
| Professional | $4.46 | $4.46 | $4.46 |