| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.74 | $29.74 | $37.17 | |
Cigna
| Professional | $872.98 | $872.98 | $872.98 | |
Providence
| Facility | $29.74 | $29.74 | $29.74 | |
Providence
| Professional | $872.98 | $872.98 | $2,250,000.00 |