| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.94 | $62.57 | $68.41 | |
Cigna
| Professional | $33.32 | $33.32 | $33.32 | |
Providence
| Facility | $44.61 | $56.22 | $78.55 | |
Providence
| Professional | $33.32 | $66.42 | $10,000.00 | |
United
| Professional | $31.30 | $34.63 | $49.68 |