| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.92 | $95.89 | $105.70 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
Providence
| Facility | $62.10 | $81.08 | $109.35 | |
Providence
| Professional | $50.89 | $101.80 | $10,000.00 | |
United
| Professional | $47.80 | $52.89 | $75.88 |