| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $19.67 | $19.67 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $14.11 | $14.11 | $14.11 | |
Molina
| Professional | $50.00 | $60.00 | $85.00 | |
Providence
| Facility | $15.00 | $19.67 | $19.67 | |
Providence
| Professional | $14.11 | $2,250,000.00 | $2,400,000.00 |