| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.84 | $63.48 | $83.61 | |
Cigna
| Professional | $36.94 | $36.94 | $36.94 | |
Providence
| Facility | $48.91 | $66.42 | $92.79 | |
Providence
| Professional | $36.94 | $67.39 | $10,000.00 | |
United
| Professional | $34.70 | $38.39 | $55.08 |