| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.81 | $70.53 | $77.12 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
Providence
| Facility | $50.31 | $63.41 | $88.60 | |
Providence
| Professional | $37.57 | $74.87 | $10,000.00 | |
United
| Professional | $35.29 | $39.04 | $56.03 |