| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $26.92 | $32.36 | |
Moda Health
| Facility | $27.54 | $27.54 | $39.81 | |
Moda Health
| Professional | $26.92 | $32.36 | $60.26 | |
Providence
| Facility | $27.54 | $38.02 | $39.81 | |
Providence
| Professional | $60.26 | $60.26 | $60.26 |