| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.89 | $80.70 | $84.44 | |
Cigna
| Professional | $43.73 | $43.73 | $43.73 | |
Providence
| Facility | $53.56 | $68.87 | $94.30 | |
Providence
| Professional | $43.73 | $85.68 | $10,000.00 | |
United
| Professional | $41.08 | $45.45 | $75.75 |