| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.00 | $15.00 | $15.00 | |
Cigna
| Professional | $1.68 | $1.68 | $1.68 | |
Providence
| Facility | $15.00 | $15.00 | $23.10 | |
Providence
| Professional | $1.68 | $2,250,000.00 | $2,400,000.00 |