| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.65 | $53.91 | $54.46 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Providence
| Facility | $33.79 | $43.09 | $59.51 | |
Providence
| Professional | $28.56 | $57.82 | $10,000.00 | |
United
| Professional | $26.83 | $29.69 | $49.48 |