| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.04 | $20.00 | $26.47 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Providence
| Facility | $3.34 | $16.00 | $26.47 | |
Providence
| Professional | $8.32 | $8.32 | $2,400,000.00 | |
United
| Professional | $22.17 | $26.04 | $31.03 |