| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.46 | $118.66 | $125.10 | |
Cigna
| Professional | $58.29 | $58.29 | $58.29 | |
Providence
| Facility | $90.79 | $142.87 | $142.87 | |
Providence
| Professional | $58.29 | $125.10 | $135.97 | |
United
| Professional | $58.06 | $60.58 | $100.97 |