| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.32 | $1.12 | $414.38 | |
Aetna
| Professional | $0.20 | $0.32 | $0.32 | |
Cigna
| Professional | $0.20 | $0.20 | $0.20 | |
Moda Health
| Facility | $0.46 | $0.46 | $0.46 | |
Providence
| Facility | $0.46 | $0.46 | $0.46 | |
Providence
| Professional | $0.20 | $0.20 | $0.20 |