| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.89 | $127.09 | $127.09 | |
Cigna
| Professional | $258.51 | $258.51 | $258.51 | |
Providence
| Facility | $45.89 | $45.89 | $127.09 | |
Providence
| Professional | $258.51 | $1,800,000.00 | $2,400,000.00 |