| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Moda Health
| Facility | $4.00 | $4.00 | $11.60 | |
Providence
| Facility | $4.00 | $4.00 | $11.60 | |
Providence
| Professional | $3.24 | $3.24 | $1,800,000.00 |