| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.88 | $8.59 | $9.85 | |
Cigna
| Facility | $10.18 | $10.18 | $23.88 | |
Cigna
| Professional | $7.88 | $7.88 | $10.18 | |
Providence
| Facility | $7.88 | $9.76 | $13.74 | |
Providence
| Professional | $7.81 | $9.76 | $10.28 | |
United
| Professional | $7.88 | $7.88 | $7.88 |