| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.00 | $79.73 | $79.73 | |
Cigna
| Professional | $26.38 | $26.38 | $26.38 | |
Providence
| Facility | $56.00 | $56.00 | $56.00 | |
Providence
| Professional | $26.38 | $26.38 | $2,250,000.00 |