| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.26 | $71.98 | $95.25 | |
Cigna
| Professional | $39.15 | $39.15 | $39.15 | |
Providence
| Facility | $49.06 | $71.69 | $100.17 | |
Providence
| Professional | $39.15 | $76.42 | $10,000.00 | |
United
| Professional | $36.79 | $40.70 | $58.39 |