| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.36 | $81.18 | $106.94 | |
Cigna
| Professional | $47.24 | $47.24 | $47.24 | |
Providence
| Facility | $55.90 | $71.89 | $98.42 | |
Providence
| Professional | $47.24 | $86.19 | $10,000.00 | |
United
| Professional | $44.38 | $49.10 | $70.44 |