| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.73 | $6.25 | $7.16 | |
Cigna
| Facility | $7.03 | $7.03 | $16.94 | |
Cigna
| Professional | $5.73 | $5.73 | $7.03 | |
Providence
| Facility | $5.73 | $7.03 | $9.74 | |
Providence
| Professional | $5.73 | $7.16 | $7.30 | |
United
| Professional | $5.73 | $5.73 | $5.73 |