| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.02 | $56.69 | $56.69 | |
Cigna
| Professional | $36.90 | $64.37 | $66.25 | |
Providence
| Facility | $8.10 | $30.07 | $41.58 | |
Providence
| Professional | $40.11 | $56.83 | $66.86 | |
United
| Professional | $54.29 | $70.11 | $86.10 |