| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.46 | $0.46 | $0.46 | |
Cigna
| Facility | $7.36 | $7.36 | $7.36 | |
Cigna
| Professional | $3.85 | $7.36 | $7.36 | |
Providence
| Facility | $0.48 | $7.36 | $7.36 | |
Providence
| Professional | $4.53 | $7.36 | $8.80 | |
United
| Professional | $4.53 | $4.53 | $4.53 |