| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.63 | $19.97 | $28.47 | |
BCBS
| Professional | $13.99 | $15.79 | $31.12 | |
Cigna
| Professional | $18.07 | $23.05 | $29.99 | |
Moda Health
| Professional | $17.72 | $17.72 | $17.72 | |
Providence
| Professional | $17.72 | $23.73 | $29.99 | |
United
| Professional | $15.97 | $22.35 | $31.32 | |
Wellpoint
| Professional | $15.74 | $15.74 | $25.04 |