| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.51 | $74.26 | $77.23 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
Providence
| Facility | $46.90 | $59.10 | $82.59 | |
Providence
| Professional | $37.00 | $78.84 | $10,000.00 | |
United
| Professional | $34.76 | $38.45 | $55.17 |