| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.91 | $44.36 | $55.96 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Providence
| Facility | $34.18 | $48.79 | $68.18 | |
Providence
| Professional | $25.82 | $47.10 | $10,000.00 | |
United
| Professional | $24.25 | $26.83 | $44.72 |