| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.02 | $3.02 | $3.02 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Moda Health
| Facility | $3.47 | $3.47 | $4.90 | |
Moda Health
| Professional | $3.02 | $3.02 | $75.86 | |
Providence
| Facility | $3.47 | $4.68 | $4.90 | |
Providence
| Professional | $60.26 | $60.26 | $60.26 |