| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.46 | $109.41 | $109.41 | |
Cigna
| Facility | $112.05 | $112.05 | $112.05 | |
Cigna
| Professional | $112.05 | $112.05 | $112.05 | |
Providence
| Facility | $105.46 | $105.46 | $112.05 | |
Providence
| Professional | $112.05 | $112.05 | $2,400,000.00 |