| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.93 | $52.46 | $52.91 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Providence
| Facility | $31.03 | $39.09 | $54.62 | |
Providence
| Professional | $26.22 | $55.69 | $10,000.00 | |
United
| Professional | $24.63 | $27.25 | $39.09 |