| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $14.13 | $28.84 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Moda Health
| Facility | $14.79 | $14.79 | $34.67 | |
Moda Health
| Professional | $14.13 | $15.85 | $60.26 | |
Providence
| Facility | $14.79 | $14.79 | $34.67 | |
Providence
| Professional | $0.05 | $0.05 | $60.26 | |
United
| Facility | $4.68 | $4.68 | $8.91 | |
United
| Professional | $6.31 | $12.02 | $22.39 |