| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.20 | $106.78 | $107.29 | |
Cigna
| Professional | $46.82 | $46.82 | $46.82 | |
Providence
| Facility | $58.62 | $73.88 | $103.19 | |
Providence
| Professional | $46.82 | $113.89 | $10,000.00 | |
United
| Professional | $43.99 | $48.67 | $69.81 |