| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.34 | $102.79 | $103.84 | |
Cigna
| Professional | $48.97 | $48.97 | $48.97 | |
Providence
| Facility | $59.29 | $76.23 | $104.37 | |
Providence
| Professional | $48.97 | $110.24 | $10,000.00 | |
United
| Professional | $46.00 | $50.90 | $73.02 |