| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $46.77 | $52.48 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Providence
| Facility | $44.67 | $60.26 | $97.72 | |
Providence
| Professional | $30.20 | $60.26 | $85.11 | |
United
| Professional | $60.26 | $81.28 | $95.50 |