| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.82 | $14.82 | $14.82 | |
Cigna
| Professional | $4.38 | $4.38 | $15.24 | |
Providence
| Facility | $14.82 | $14.82 | $14.82 | |
Providence
| Professional | $4.38 | $15.24 | $2,400,000.00 | |
United
| Professional | $5.31 | $5.63 | $9.38 |