| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,448.30 | $1,448.30 | $1,448.30 | |
Cigna
| Professional | $198.37 | $198.37 | $198.37 | |
Providence
| Facility | $1,966.59 | $1,966.59 | $1,966.59 | |
Providence
| Professional | $198.37 | $198.37 | $2,250,000.00 |