| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.54 | $6.55 | $873.44 | |
Cigna
| Facility | $6.71 | $6.71 | $6.71 | |
Cigna
| Professional | $6.71 | $6.71 | $6.71 | |
Providence
| Facility | $0.67 | $0.67 | $6.71 | |
Providence
| Professional | $1.18 | $1.18 | $6.71 | |
United
| Professional | $6.58 | $6.58 | $6.58 |