| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $15.85 | $23.99 | |
Moda Health
| Facility | $24.55 | $24.55 | $34.67 | |
Moda Health
| Professional | $15.85 | $17.38 | $60.26 | |
Providence
| Facility | $24.55 | $24.55 | $34.67 | |
Providence
| Professional | $10.96 | $15.85 | $60.26 | |
United
| Professional | $13.49 | $13.49 | $25.70 |