| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.56 | $79.37 | $112.34 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
Providence
| Facility | $59.16 | $79.66 | $111.32 | |
Providence
| Professional | $46.19 | $84.26 | $10,000.00 | |
United
| Professional | $43.39 | $48.01 | $68.87 |