| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $410.33 | $429.48 | $449.60 | |
Cigna
| Professional | $88.76 | $88.76 | $88.76 | |
Providence
| Facility | $406.02 | $429.48 | $459.54 | |
Providence
| Professional | $88.76 | $2,250,000.00 | $2,400,000.00 |