| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.31 | $88.20 | $112.53 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
Providence
| Facility | $60.73 | $78.09 | $106.94 | |
Providence
| Professional | $51.33 | $93.64 | $10,000.00 | |
United
| Professional | $48.22 | $53.35 | $76.54 |