| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.39 | $14.39 | $14.39 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Moda Health
| Facility | $14.39 | $14.39 | $20.58 | |
Providence
| Facility | $14.39 | $14.39 | $20.58 | |
Providence
| Professional | $2.02 | $2.39 | $2.57 |