| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.02 | $19.73 | $19.73 | |
Cigna
| Professional | $15.21 | $15.21 | $15.21 | |
Providence
| Facility | $19.02 | $19.02 | $19.02 | |
Providence
| Professional | $15.21 | $2,250,000.00 | $2,400,000.00 |