| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.26 | $10.26 | $11.19 | |
Cigna
| Facility | $11.74 | $11.74 | $11.74 | |
Cigna
| Professional | $10.27 | $10.27 | $11.74 | |
Providence
| Facility | $11.74 | $11.74 | $11.74 | |
Providence
| Professional | $10.27 | $11.14 | $14.54 | |
United
| Professional | $10.27 | $10.27 | $10.27 |