| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.17 | $8.13 | $29.70 | |
Cigna
| Facility | $10.80 | $10.80 | $10.80 | |
Cigna
| Professional | $4.20 | $10.80 | $10.80 | |
Providence
| Facility | $9.80 | $10.80 | $39.85 | |
Providence
| Professional | $8.11 | $8.11 | $12.06 | |
United
| Professional | $4.15 | $4.37 | $5.14 |