| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.56 | $77.34 | $93.64 | |
Cigna
| Professional | $44.86 | $44.86 | $44.86 | |
Providence
| Facility | $56.20 | $71.11 | $98.95 | |
Providence
| Professional | $44.86 | $82.11 | $10,000.00 | |
United
| Professional | $42.14 | $46.62 | $66.88 |