| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.30 | $17.93 | $24.45 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Moda Health
| Facility | $34.96 | $34.96 | $34.96 | |
Moda Health
| Professional | $10.97 | $10.97 | $15.68 | |
Providence
| Facility | $34.96 | $34.96 | $34.96 | |
Providence
| Professional | $10.97 | $13.99 | $15.68 | |
United
| Professional | $13.38 | $13.38 | $13.61 |