| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.62 | $13.62 | $14.49 | |
Cigna
| Facility | $14.30 | $14.30 | $14.30 | |
Cigna
| Professional | $12.49 | $14.30 | $14.30 | |
Providence
| Facility | $4.67 | $12.49 | $15.60 | |
Providence
| Professional | $13.55 | $13.55 | $15.78 | |
United
| Professional | $12.49 | $12.49 | $12.49 |