| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Moda Health
| Facility | $20.00 | $20.00 | $58.00 | |
Providence
| Facility | $20.00 | $20.00 | $58.00 | |
Providence
| Professional | $1.36 | $1.36 | $1,800,000.00 |