| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.69 | $143.16 | $174.33 | |
Moda Health
| Professional | $23.28 | $23.28 | $33.25 | |
Providence
| Professional | $49.42 | $49.42 | $51.97 | |
United
| Professional | $55.36 | $65.27 | $316.77 |