| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.11 | $30.12 | $30.12 | |
Cigna
| Facility | $5.99 | $11.41 | $11.41 | |
Cigna
| Professional | $5.99 | $11.41 | $11.41 | |
Providence
| Facility | $5.34 | $10.87 | $11.41 | |
Providence
| Professional | $8.57 | $8.76 | $11.42 | |
United
| Professional | $4.32 | $4.78 | $7.32 |