| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.49 | $1.49 | $1.49 | |
Cigna
| Professional | $1.10 | $1.10 | $1.10 | |
Moda Health
| Facility | $2.13 | $2.13 | $2.13 | |
Moda Health
| Professional | $1.00 | $1.00 | $1.43 | |
Providence
| Facility | $2.13 | $2.13 | $2.13 | |
Providence
| Professional | $1.00 | $1.10 | $1.43 | |
United
| Professional | $235.83 | $353.75 | $475.72 |