| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.84 | $67.86 | $68.53 | |
Cigna
| Professional | $37.20 | $37.20 | $37.20 | |
Providence
| Facility | $47.55 | $59.93 | $83.73 | |
Providence
| Professional | $37.20 | $72.75 | $10,000.00 | |
United
| Professional | $34.94 | $38.65 | $55.47 |