| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.14 | $45.60 | $57.84 | |
Cigna
| Professional | $23.78 | $23.78 | $23.78 | |
Providence
| Facility | $31.49 | $47.27 | $66.06 | |
Providence
| Professional | $23.78 | $48.41 | $10,000.00 | |
United
| Professional | $22.34 | $24.71 | $24.71 |