| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.10 | $3.35 | $3.35 | |
Aetna
| Professional | $2.10 | $2.66 | $4.90 | |
Cigna
| Facility | $2.10 | $2.10 | $2.10 | |
Cigna
| Professional | $2.10 | $2.10 | $2.10 | |
Providence
| Facility | $2.10 | $2.10 | $2.10 | |
Providence
| Professional | $2.10 | $2.10 | $2.10 | |
United
| Facility | $2.10 | $2.10 | $2.10 | |
United
| Professional | $2.10 | $2.10 | $2.10 |