| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.85 | $101.88 | $111.11 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Providence
| Facility | $68.22 | $96.31 | $120.12 | |
Providence
| Professional | $57.66 | $108.16 | $10,000.00 | |
United
| Professional | $54.16 | $59.93 | $85.97 |