| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.70 | $372.94 | $372.94 | |
Cigna
| Professional | $66.48 | $66.48 | $83.12 | |
Providence
| Facility | $84.26 | $84.26 | $84.26 | |
Providence
| Professional | $52.20 | $52.20 | $72.50 | |
United
| Professional | $24.36 | $25.06 | $99.30 |