| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.98 | $50.49 | $60.33 | |
Cigna
| Professional | $29.38 | $29.38 | $29.38 | |
Providence
| Facility | $34.77 | $43.81 | $61.21 | |
Providence
| Professional | $29.38 | $53.60 | $10,000.00 | |
United
| Professional | $27.60 | $30.54 | $43.81 |