| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $33.88 | |
Aetna
| Professional | $20.89 | $33.88 | $43.65 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Moda Health
| Facility | $32.36 | $34.67 | $57.54 | |
Moda Health
| Professional | $20.89 | $33.88 | $38.90 | |
Providence
| Facility | $33.11 | $34.67 | $57.54 | |
Providence
| Professional | $0.68 | $0.68 | $79.43 |