| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.06 | $187.75 | $279.02 | |
Cigna
| Professional | $45.05 | $243.75 | $304.69 | |
Moda Health
| Facility | $167.73 | $272.68 | $327.22 | |
Providence
| Facility | $169.89 | $272.68 | $327.22 | |
Providence
| Professional | $45.05 | $1,800,000.00 | $2,400,000.00 |