| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.41 | $0.41 | $0.41 | |
Aetna
| Professional | $0.41 | $0.41 | $0.41 | |
BCBS
| Professional | $1.15 | $1.15 | $1.15 | |
Cigna
| Professional | $0.52 | $0.52 | $0.52 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Moda Health
| Facility | $0.41 | $1.79 | $1.79 | |
Moda Health
| Professional | $0.40 | $0.40 | $0.40 | |
Providence
| Facility | $0.41 | $1.15 | $1.77 | |
Providence
| Professional | $0.40 | $0.52 | $0.52 | |
United
| Professional | $1.44 | $1.44 | $1.45 | |
Wellpoint
| Professional | $1.06 | $1.06 | $1.98 |