| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.01 | $45.47 | $57.03 | |
Cigna
| Professional | $24.93 | $24.93 | $24.93 | |
Providence
| Facility | $31.82 | $40.33 | $56.03 | |
Providence
| Professional | $24.93 | $48.27 | $10,000.00 | |
United
| Professional | $23.42 | $25.91 | $37.18 |