| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.95 | $48.44 | $51.55 | |
Cigna
| Professional | $28.19 | $28.19 | $28.19 | |
Providence
| Facility | $33.35 | $42.03 | $58.72 | |
Providence
| Professional | $28.19 | $51.42 | $10,000.00 | |
United
| Professional | $26.48 | $29.30 | $29.30 |