| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.80 | $64.80 | $64.80 | |
Cigna
| Professional | $27.79 | $131.55 | $154.76 | |
Providence
| Facility | $64.80 | $64.80 | $70.40 | |
Providence
| Professional | $131.55 | $1,800,000.00 | $2,400,000.00 |