| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.04 | $3.04 | $3.04 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Moda Health
| Facility | $3.04 | $3.04 | $16.00 | |
Providence
| Facility | $16.00 | $22.40 | $22.40 | |
Providence
| Professional | $8.32 | $8.32 | $1,800,000.00 | |
United
| Professional | $15.20 | $32.00 | $69.08 |