| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.97 | $105.03 | $111.16 | |
Cigna
| Professional | $51.66 | $51.66 | $51.66 | |
Providence
| Facility | $68.40 | $102.70 | $143.49 | |
Providence
| Professional | $51.66 | $111.50 | $10,000.00 | |
United
| Professional | $48.53 | $53.69 | $77.03 |