| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.90 | $57.48 | $64.28 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Providence
| Facility | $44.29 | $66.51 | $92.91 | |
Providence
| Professional | $33.45 | $61.02 | $10,000.00 | |
United
| Professional | $31.42 | $34.76 | $49.88 |