| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.45 | $2.45 | $2.45 | |
Cigna
| Facility | $1.73 | $1.73 | $1.73 | |
Cigna
| Professional | $1.73 | $1.73 | $1.73 | |
Providence
| Facility | $1.73 | $2.50 | $2.94 | |
Providence
| Professional | $1.73 | $1.73 | $1.73 | |
United
| Professional | $1.52 | $1.52 | $1.52 |