| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.15 | $142.26 | $142.26 | |
Cigna
| Professional | $66.00 | $66.00 | $66.00 | |
Moda Health
| Facility | $130.51 | $142.26 | $199.16 | |
Providence
| Facility | $110.15 | $142.26 | $199.16 | |
Providence
| Professional | $66.00 | $1,800,000.00 | $2,400,000.00 |