| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.93 | $77.58 | $77.72 | |
Cigna
| Professional | $41.03 | $41.03 | $41.03 | |
Providence
| Facility | $50.71 | $63.91 | $89.28 | |
Providence
| Professional | $41.03 | $82.50 | $10,000.00 | |
United
| Professional | $38.54 | $42.65 | $61.17 |