| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.13 | $88.71 | $88.71 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 | |
Providence
| Facility | $68.13 | $68.13 | $68.13 | |
Providence
| Professional | $35.29 | $1,800,000.00 | $2,400,000.00 |