| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.94 | $130.08 | $130.79 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Molina
| Professional | $50.00 | $60.00 | $1,500.00 | |
Providence
| Facility | $118.13 | $130.08 | $130.79 | |
Providence
| Professional | $13.17 | $13.17 | $1,800,000.00 |