| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.50 | $15.23 | $52.94 | |
Cigna
| Professional | $45.72 | $64.50 | $84.86 | |
Moda Health
| Facility | $0.85 | $0.85 | $0.85 | |
Providence
| Facility | $0.85 | $0.85 | $0.85 | |
Providence
| Professional | $45.72 | $64.50 | $84.86 |