| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.03 | $0.04 | |
Aetna
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Professional | $23.95 | $23.95 | $29.94 | |
Premera BCBS
| Professional | $3.79 | $5.69 | $5.69 | |
Providence
| Professional | $5.69 | $5.69 | $2,400,000.00 |