| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.40 | $173.29 | $223.28 | |
Cigna
| Professional | $45.05 | $258.38 | $309.56 | |
Providence
| Facility | $155.00 | $188.93 | $235.76 | |
Providence
| Professional | $45.05 | $2,250,000.00 | $2,400,000.00 |