| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $33.88 | $245.47 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Moda Health
| Facility | $32.36 | $34.67 | $39.81 | |
Moda Health
| Professional | $32.36 | $33.88 | $60.26 | |
Providence
| Facility | $31.62 | $34.67 | $41.69 | |
Providence
| Professional | $0.68 | $0.68 | $60.26 |