| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.49 | $7.16 | $9.61 | |
Cigna
| Facility | $9.99 | $9.99 | $9.99 | |
Cigna
| Professional | $6.55 | $6.55 | $9.99 | |
Providence
| Facility | $5.95 | $9.99 | $12.07 | |
Providence
| Professional | $6.55 | $9.99 | $2,250,000.00 | |
United
| Professional | $11.59 | $11.59 | $11.59 |