| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.73 | $78.53 | $106.42 | |
Cigna
| Professional | $44.32 | $44.32 | $44.32 | |
Providence
| Facility | $52.44 | $67.43 | $92.34 | |
Providence
| Professional | $44.32 | $83.37 | $10,000.00 | |
United
| Professional | $41.63 | $46.07 | $66.08 |