| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.28 | $48.40 | $48.90 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
Providence
| Facility | $27.96 | $35.22 | $49.23 | |
Providence
| Professional | $23.63 | $51.91 | $10,000.00 | |
United
| Professional | $22.19 | $24.56 | $35.22 |