| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.41 | $12.03 | $14.39 | |
Cigna
| Professional | $5.91 | $5.91 | $5.91 | |
Providence
| Facility | $7.16 | $9.02 | $12.61 | |
Providence
| Professional | $5.91 | $12.91 | $10,000.00 | |
United
| Professional | $5.56 | $6.15 | $8.82 |