| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.68 | $79.09 | $100.74 | |
Moda Health
| Facility | $109.43 | $109.43 | $109.43 | |
Providence
| Facility | $109.43 | $109.43 | $109.43 | |
United
| Professional | $88.11 | $223.40 | $606.91 |