| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.78 | $10.16 | $10.40 | |
Cigna
| Facility | $5.78 | $5.78 | $12.71 | |
Cigna
| Professional | $5.78 | $10.40 | $10.40 | |
Providence
| Facility | $4.07 | $9.61 | $12.71 | |
Providence
| Professional | $5.34 | $12.13 | $12.75 | |
United
| Professional | $10.19 | $10.19 | $10.19 |