| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.62 | $58.47 | $60.66 | |
Cigna
| Facility | $83.08 | $83.08 | $182.46 | |
Cigna
| Professional | $70.05 | $83.08 | $84.30 | |
Providence
| Facility | $52.33 | $65.06 | $92.62 | |
Providence
| Professional | $70.05 | $83.08 | $2,400,000.00 | |
United
| Professional | $73.09 | $73.09 | $73.09 |