| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.00 | $45.40 | $55.00 | |
Cigna
| Professional | $24.43 | $24.43 | $24.43 | |
Providence
| Facility | $32.72 | $41.23 | $57.64 | |
Providence
| Professional | $24.43 | $48.69 | $10,000.00 | |
United
| Professional | $22.96 | $25.40 | $36.44 |