| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.38 | $140.40 | $219.88 | |
Aetna
| Professional | $78.12 | $112.32 | $130.69 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Moda Health
| Facility | $112.32 | $112.32 | $157.25 | |
Providence
| Facility | $83.00 | $112.32 | $157.25 | |
Providence
| Professional | $2.00 | $2,400,000.00 | $2,400,000.00 |