| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.20 | $2.00 | $2.00 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Providence
| Facility | $2.00 | $2.00 | $3.08 | |
Providence
| Professional | $13.99 | $1,800,000.00 | $2,400,000.00 | |
United
| Professional | $33.02 | $35.08 | $35.08 |