| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $19.32 | $19.32 | $19.32 | |
Providence
| Facility | $30.00 | $30.00 | $30.00 | |
Providence
| Professional | $19.32 | $1,800,000.00 | $2,400,000.00 |