| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Moda Health
| Professional | $79,999.20 | $79,999.20 | $79,999.20 | |
Providence
| Professional | $0.51 | $0.51 | $2,550,000.00 |