| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.25 | $42.11 | $85.00 | |
Cigna
| Professional | $19.59 | $19.59 | $19.59 | |
Providence
| Facility | $25.94 | $36.17 | $50.52 | |
Providence
| Professional | $19.59 | $44.71 | $10,000.00 | |
United
| Professional | $18.41 | $20.36 | $29.22 |