| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.41 | $155.36 | $256.70 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Providence
| Facility | $261.95 | $275.20 | $275.20 | |
Providence
| Professional | $160.94 | $322.51 | $1,800,000.00 | |
United
| Professional | $144.59 | $144.59 | $157.16 |