| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.30 | $0.30 | $0.30 | |
Cigna
| Professional | $2.71 | $2.71 | $2.71 | |
Moda Health
| Facility | $0.30 | $0.30 | $0.87 | |
Providence
| Facility | $0.30 | $0.30 | $0.87 | |
Providence
| Professional | $2.71 | $2.71 | $1,800,000.00 |