| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.71 | $291.25 | $311.20 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 | |
Providence
| Facility | $242.71 | $242.71 | $373.77 | |
Providence
| Professional | $116.04 | $1,800,000.00 | $2,400,000.00 |