| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.91 | $18.89 | $26.74 | |
Cigna
| Professional | $11.00 | $11.00 | $11.00 | |
Providence
| Facility | $13.01 | $16.73 | $22.91 | |
Providence
| Professional | $11.00 | $20.05 | $10,000.00 | |
United
| Professional | $10.33 | $11.43 | $16.39 |