| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.70 | $15.86 | $18.63 | |
Cigna
| Professional | $9.23 | $9.23 | $9.23 | |
Providence
| Facility | $12.86 | $18.35 | $25.63 | |
Providence
| Professional | $9.23 | $16.82 | $10,000.00 | |
United
| Professional | $8.67 | $9.59 | $14.45 |