| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.75 | $145.21 | $154.16 | |
Cigna
| Professional | $84.51 | $84.51 | $84.51 | |
Providence
| Facility | $99.99 | $141.16 | $176.06 | |
Providence
| Professional | $84.51 | $154.16 | $10,000.00 | |
United
| Professional | $79.39 | $87.83 | $126.01 |