| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.00 | $2,444.00 | $7,513.00 | |
Aetna
| Professional | $1,209.00 | $2,410.00 | $5,235.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Providence
| Professional | $2,250,000.00 | $2,400,000.00 | $2,400,000.00 |