| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.76 | $67.19 | $67.19 | |
Cigna
| Facility | $68.81 | $68.81 | $68.81 | |
Cigna
| Professional | $43.33 | $68.81 | $68.81 | |
Providence
| Facility | $64.76 | $64.76 | $68.81 | |
Providence
| Professional | $68.81 | $68.81 | $2,400,000.00 |