| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.57 | $11.80 | $11.80 | |
Aetna
| Professional | $7.57 | $7.64 | $10.60 | |
Cigna
| Facility | $6.77 | $6.77 | $6.77 | |
Cigna
| Professional | $6.77 | $6.77 | $6.77 | |
Providence
| Facility | $6.77 | $6.77 | $7.57 | |
Providence
| Professional | $6.77 | $6.77 | $6.77 | |
United
| Professional | $7.57 | $7.57 | $7.57 |