| 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 | $28.08 | $28.08 | $35.11 | |
Premera BCBS
| Professional | $6.07 | $9.11 | $9.11 | |
Providence
| Professional | $9.11 | $9.11 | $2,400,000.00 |