| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.06 | $81.20 | $82.04 | |
Cigna
| Professional | $42.25 | $42.25 | $42.25 | |
Providence
| Facility | $49.99 | $68.25 | $88.02 | |
Providence
| Professional | $42.25 | $87.10 | $10,000.00 | |
United
| Professional | $39.69 | $43.91 | $63.00 |