| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.79 | $23.65 | $23.65 | |
Cigna
| Professional | $4.04 | $4.04 | $9.00 | |
Providence
| Facility | $22.79 | $28.49 | $28.81 | |
Providence
| Professional | $4.04 | $27.66 | $1,800,000.00 |