| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.13 | $61.90 | $150.00 | |
Cigna
| Professional | $29.80 | $29.80 | $29.80 | |
Providence
| Facility | $37.38 | $47.11 | $65.81 | |
Providence
| Professional | $29.80 | $65.72 | $10,000.00 | |
United
| Professional | $27.99 | $30.97 | $44.43 |