| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $28.84 | $29.51 | |
Cigna
| Professional | $870.96 | $870.96 | $870.96 | |
Providence
| Facility | $29.51 | $33.88 | $61.66 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |