| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.19 | $60.26 | $229.08 | |
Cigna
| Facility | $84.13 | $84.13 | $184.77 | |
Cigna
| Professional | $57.66 | $57.66 | $84.13 | |
Providence
| Facility | $52.99 | $75.79 | $276.00 | |
Providence
| Professional | $57.66 | $84.13 | $2,250,000.00 | |
United
| Professional | $276.00 | $276.00 | $276.00 |