| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.05 | $86.93 | $103.66 | |
Cigna
| Professional | $42.61 | $42.61 | $42.61 | |
Providence
| Facility | $56.42 | $75.75 | $105.84 | |
Providence
| Professional | $42.61 | $92.29 | $10,000.00 | |
United
| Professional | $40.04 | $44.29 | $63.55 |