| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.13 | $1.13 | $1.13 | |
Aetna
| Professional | $1.13 | $1.13 | $1.13 | |
BCBS
| Professional | $2.42 | $2.42 | $2.42 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Moda Health
| Facility | $1.13 | $3.24 | $3.24 | |
Moda Health
| Professional | $1.12 | $1.12 | $1.12 | |
Providence
| Facility | $1.13 | $2.39 | $3.24 | |
Providence
| Professional | $1.12 | $1.74 | $1.74 | |
United
| Professional | $2.16 | $2.16 | $2.70 | |
Wellpoint
| Professional | $1.87 | $1.87 | $3.11 |