| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.69 | $4.74 | $229.65 | |
Cigna
| Facility | $6.38 | $6.38 | $6.38 | |
Cigna
| Professional | $4.69 | $4.69 | $6.38 | |
Providence
| Facility | $6.38 | $6.38 | $6.38 | |
Providence
| Professional | $4.69 | $5.09 | $8.00 | |
United
| Professional | $4.69 | $4.69 | $4.69 |