| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.37 | $55.94 | $78.02 | |
Cigna
| Professional | $32.08 | $32.08 | $32.08 | |
Providence
| Facility | $37.95 | $47.83 | $66.83 | |
Providence
| Professional | $32.08 | $59.38 | $10,000.00 | |
United
| Professional | $30.13 | $33.34 | $47.83 |