| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.98 | $28.26 | $34.28 | |
Cigna
| Professional | $16.45 | $16.45 | $16.45 | |
Providence
| Facility | $19.47 | $27.48 | $34.27 | |
Providence
| Professional | $16.45 | $30.01 | $10,000.00 | |
United
| Professional | $15.80 | $17.09 | $25.75 |