| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.01 | $62.46 | $63.09 | |
Cigna
| Professional | $29.54 | $29.54 | $29.54 | |
Providence
| Facility | $37.45 | $47.19 | $65.94 | |
Providence
| Professional | $29.54 | $66.98 | $10,000.00 | |
United
| Professional | $27.74 | $30.70 | $44.04 |