| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $34.67 | $45.71 | |
Providence
| Facility | $0.05 | $0.05 | $0.28 | |
Providence
| Professional | $79.43 | $79.43 | $85.11 | |
United
| Facility | $0.03 | $0.03 | $0.03 | |
United
| Professional | $0.06 | $0.06 | $0.06 |