| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.70 | $47.00 | $109.25 | |
Cigna
| Facility | $73.09 | $73.09 | $73.09 | |
Cigna
| Professional | $38.22 | $38.22 | $73.09 | |
Providence
| Facility | $38.47 | $59.26 | $123.05 | |
Providence
| Professional | $38.22 | $73.09 | $2,400,000.00 | |
United
| Professional | $69.16 | $81.36 | $97.04 |