| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.95 | $237.75 | $237.75 | |
Cigna
| Professional | $45.34 | $45.34 | $53.34 | |
Providence
| Facility | $117.95 | $237.75 | $447.24 | |
Providence
| Professional | $45.34 | $1,800,000.00 | $2,400,000.00 |