| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.90 | $60.51 | $61.82 | |
Cigna
| Professional | $32.92 | $32.92 | $32.92 | |
Providence
| Facility | $43.63 | $54.99 | $76.81 | |
Providence
| Professional | $32.92 | $64.23 | $10,000.00 | |
United
| Professional | $30.92 | $34.21 | $51.54 |