| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.33 | $106.41 | $112.96 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Providence
| Facility | $73.26 | $92.33 | $129.00 | |
Providence
| Professional | $61.92 | $112.96 | $10,000.00 | |
United
| Professional | $58.16 | $64.36 | $92.33 |