| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.41 | $66.06 | $83.97 | |
Cigna
| Professional | $36.14 | $36.14 | $36.14 | |
Providence
| Facility | $43.35 | $54.63 | $76.34 | |
Providence
| Professional | $36.14 | $70.14 | $10,000.00 | |
United
| Professional | $33.95 | $37.57 | $53.90 |