| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.91 | $65.91 | $65.91 | |
BCBS
| Facility | $39.24 | $108.14 | $178.62 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Moda Health
| Facility | $100.38 | $100.38 | $105.46 | |
Providence
| Facility | $37.77 | $65.91 | $105.46 | |
Wellpoint
| Professional | $13.34 | $13.34 | $18.01 |