| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.72 | $64.37 | $64.89 | |
Cigna
| Professional | $33.68 | $33.68 | $33.68 | |
Providence
| Facility | $45.26 | $57.04 | $79.70 | |
Providence
| Professional | $33.68 | $68.34 | $10,000.00 | |
United
| Professional | $31.64 | $35.01 | $58.35 |