| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.91 | $43.35 | $45.24 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Providence
| Facility | $28.56 | $41.21 | $57.61 | |
Providence
| Professional | $21.70 | $46.02 | $10,000.00 | |
United
| Professional | $20.38 | $22.55 | $32.35 |