| 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 | $1.17 | $1.17 | $1.17 | |
Cigna
| Professional | $0.88 | $0.88 | $0.88 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Moda Health
| Facility | $0.41 | $1.85 | $1.85 | |
Moda Health
| Professional | $0.40 | $0.40 | $0.40 | |
Providence
| Facility | $0.41 | $1.15 | $1.85 | |
Providence
| Professional | $0.40 | $0.88 | $0.88 | |
United
| Professional | $1.07 | $1.07 | $1.38 | |
Wellpoint
| Professional | $1.06 | $1.06 | $1.54 |