| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.57 | $86.45 | $88.00 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
Providence
| Facility | $63.87 | $83.86 | $117.18 | |
Providence
| Professional | $48.24 | $91.77 | $10,000.00 | |
United
| Professional | $46.36 | $50.14 | $50.14 |