| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.98 | $74.73 | $81.26 | |
Cigna
| Professional | $37.59 | $37.59 | $37.59 | |
Providence
| Facility | $49.28 | $62.10 | $86.75 | |
Providence
| Professional | $37.59 | $79.34 | $10,000.00 | |
United
| Professional | $35.32 | $39.07 | $56.06 |