| 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 | $3.48 | $3.48 | $3.48 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Moda Health
| Facility | $0.73 | $3.88 | $3.88 | |
Moda Health
| Professional | $0.72 | $0.72 | $0.72 | |
Providence
| Facility | $0.73 | $2.06 | $3.68 | |
Providence
| Professional | $0.72 | $1.02 | $1.02 | |
United
| Professional | $2.66 | $2.66 | $3.46 | |
Wellpoint
| Professional | $2.47 | $2.47 | $4.08 |