| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.22 | $157.83 | $199.96 | |
Cigna
| Professional | $91.84 | $91.84 | $91.84 | |
Providence
| Facility | $108.67 | $139.75 | $191.34 | |
Providence
| Professional | $91.84 | $167.55 | $10,000.00 | |
United
| Professional | $86.28 | $95.46 | $136.94 |