| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.13 | $137.52 | $154.19 | |
Cigna
| Professional | $63.92 | $63.92 | $63.92 | |
Providence
| Facility | $84.44 | $106.41 | $148.66 | |
Providence
| Professional | $63.92 | $145.99 | $10,000.00 | |
United
| Professional | $60.05 | $66.44 | $66.44 |