| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.73 | $0.73 | $0.73 | |
BCBS
| Professional | $5.54 | $5.54 | $5.54 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Moda Health
| Facility | $0.73 | $4.90 | $4.90 | |
Moda Health
| Professional | $0.72 | $0.72 | $0.72 | |
Providence
| Facility | $0.73 | $2.06 | $4.90 | |
Providence
| Professional | $0.72 | $8.16 | $8.16 | |
United
| Professional | $3.14 | $3.14 | $4.90 | |
Wellpoint
| Professional | $2.49 | $2.49 | $5.63 |