| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.22 | $3.52 | $3.52 | |
Aetna
| Professional | $2.22 | $2.82 | $6.00 | |
Cigna
| Facility | $2.22 | $2.22 | $2.22 | |
Cigna
| Professional | $2.22 | $2.22 | $2.22 | |
Providence
| Facility | $2.17 | $2.22 | $2.22 | |
Providence
| Professional | $2.22 | $2.22 | $2.22 | |
United
| Professional | $2.22 | $2.22 | $2.22 |