| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.15 | $207.16 | $289.19 | |
Cigna
| Professional | $99.14 | $99.14 | $533.88 | |
Providence
| Facility | $171.15 | $171.15 | $441.26 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |