| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $28.33 | $28.33 | $28.33 | |
Molina
| Professional | $32.34 | $70.00 | $1,500.00 | |
Providence
| Facility | $20.00 | $20.00 | $20.00 | |
Providence
| Professional | $1.36 | $1.41 | $2,250,000.00 |