| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.06 | $0.06 | $0.06 | |
Aetna
| Professional | $0.05 | $0.05 | $0.06 | |
Cigna
| Facility | $0.05 | $0.05 | $0.05 | |
Cigna
| Professional | $0.05 | $0.05 | $0.05 | |
Providence
| Facility | $0.05 | $0.05 | $2.57 | |
Providence
| Professional | $0.05 | $0.05 | $0.05 | |
United
| Professional | $0.02 | $0.02 | $0.02 |