| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $57.48 | $88.51 | $102.77 | |
Cigna
| Professional | $35.36 | $35.36 | $35.36 | |
Providence
| Facility | $57.48 | $88.51 | $102.77 | |
Providence
| Professional | $35.36 | $2,250,000.00 | $2,550,000.00 |