| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.50 | $2.71 | $2.88 | |
Cigna
| Facility | $10.38 | $10.38 | $10.38 | |
Cigna
| Professional | $2.49 | $10.38 | $10.38 | |
Providence
| Facility | $2.49 | $10.38 | $11.45 | |
Providence
| Professional | $2.70 | $2.70 | $11.13 | |
United
| Professional | $2.49 | $2.49 | $2.49 |