| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.77 | $59.37 | $68.59 | |
Cigna
| Professional | $34.54 | $34.54 | $34.54 | |
Providence
| Facility | $46.94 | $59.14 | $82.65 | |
Providence
| Professional | $34.54 | $63.03 | $10,000.00 | |
United
| Professional | $33.20 | $35.90 | $35.90 |