| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.95 | $69.67 | $74.47 | |
Cigna
| Professional | $37.88 | $37.88 | $37.88 | |
Providence
| Facility | $47.46 | $73.20 | $102.28 | |
Providence
| Professional | $37.88 | $73.95 | $10,000.00 | |
United
| Professional | $35.59 | $39.36 | $56.49 |