| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.85 | $88.59 | $89.50 | |
Cigna
| Professional | $45.83 | $45.83 | $45.83 | |
Providence
| Facility | $55.78 | $71.73 | $98.19 | |
Providence
| Professional | $45.83 | $95.01 | $10,000.00 | |
United
| Professional | $43.05 | $47.63 | $68.33 |