| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.23 | $64.88 | $66.34 | |
Cigna
| Professional | $36.19 | $36.19 | $36.19 | |
Providence
| Facility | $42.81 | $53.96 | $75.39 | |
Providence
| Professional | $36.19 | $68.88 | $10,000.00 | |
United
| Professional | $33.99 | $37.61 | $53.96 |