| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.51 | $82.34 | $85.65 | |
Cigna
| Professional | $44.38 | $44.38 | $44.38 | |
Providence
| Facility | $58.82 | $88.23 | $123.28 | |
Providence
| Professional | $44.38 | $87.41 | $10,000.00 | |
United
| Professional | $41.69 | $46.13 | $66.17 |