| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.71 | $63.35 | $65.54 | |
Cigna
| Professional | $32.19 | $32.19 | $32.19 | |
Providence
| Facility | $43.93 | $55.36 | $77.34 | |
Providence
| Professional | $32.19 | $67.25 | $10,000.00 | |
United
| Professional | $30.24 | $33.46 | $48.00 |