| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.62 | $588.62 | $1,646.03 | |
Cigna
| Professional | $781.33 | $781.33 | $781.33 | |
Providence
| Facility | $588.62 | $588.62 | $588.62 | |
Providence
| Professional | $781.33 | $781.33 | $2,250,000.00 |