| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.34 | $0.34 | $0.34 | |
Aetna
| Professional | $0.34 | $0.34 | $0.34 | |
BCBS
| Professional | $0.76 | $0.76 | $0.76 | |
Cigna
| Professional | $0.42 | $0.42 | $0.42 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Moda Health
| Facility | $0.34 | $1.07 | $1.07 | |
Moda Health
| Professional | $0.33 | $0.33 | $0.33 | |
Providence
| Facility | $0.34 | $0.87 | $1.07 | |
Providence
| Professional | $0.33 | $0.42 | $0.42 | |
United
| Professional | $0.83 | $0.83 | $1.03 | |
Wellpoint
| Professional | $0.88 | $1.11 | $1.19 |