| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.76 | $5.83 | $7.28 | |
Cigna
| Facility | $7.21 | $7.21 | $49.99 | |
Cigna
| Professional | $5.77 | $5.77 | $7.21 | |
Providence
| Facility | $7.21 | $7.21 | $49.99 | |
Providence
| Professional | $5.77 | $6.27 | $8.18 | |
United
| Professional | $5.77 | $5.77 | $5.77 |