| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.80 | $17.98 | $21.94 | |
Cigna
| Professional | $9.44 | $9.44 | $9.44 | |
Providence
| Facility | $11.19 | $14.09 | $19.69 | |
Providence
| Professional | $9.44 | $19.09 | $10,000.00 | |
United
| Professional | $8.88 | $9.82 | $14.09 |