| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,452.13 | $12,983.23 | $31,404.60 | |
Aetna
| Professional | $6,840.00 | $11,983.98 | $23,152.50 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Providence
| Professional | $1,800,000.00 | $2,400,000.00 | $2,400,000.00 |