| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.93 | $68.63 | $75.41 | |
Cigna
| Professional | $38.71 | $38.71 | $38.71 | |
Providence
| Facility | $50.29 | $63.37 | $88.56 | |
Providence
| Professional | $38.71 | $72.86 | $10,000.00 | |
United
| Professional | $36.36 | $40.24 | $57.72 |