| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.49 | $8.49 | $11.96 | |
Cigna
| Facility | $16.30 | $16.30 | $16.30 | |
Cigna
| Professional | $3.75 | $4.69 | $16.30 | |
Providence
| Facility | $5.30 | $16.30 | $16.30 | |
Providence
| Professional | $3.24 | $5.39 | $16.30 | |
United
| Professional | $10.30 | $16.05 | $19.00 |