| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.88 | $174.10 | $333.70 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Providence
| Facility | $174.10 | $174.10 | $505.90 | |
Providence
| Professional | $161.72 | $1,800,000.00 | $2,400,000.00 |