| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.14 | $84.63 | $85.50 | |
Cigna
| Professional | $43.93 | $43.93 | $43.93 | |
Providence
| Facility | $63.14 | $87.35 | $122.04 | |
Providence
| Professional | $43.93 | $90.76 | $10,000.00 | |
United
| Professional | $41.27 | $45.66 | $65.51 |