| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.58 | $62.20 | $62.21 | |
Cigna
| Professional | $31.15 | $31.15 | $31.15 | |
Providence
| Facility | $38.85 | $48.96 | $68.40 | |
Providence
| Professional | $31.15 | $66.04 | $10,000.00 | |
United
| Professional | $29.93 | $32.38 | $53.96 |