| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.11 | $32.11 | $113.54 | |
Aetna
| Professional | $32.44 | $32.44 | $32.44 | |
Cigna
| Professional | $20.43 | $20.43 | $20.43 | |
Moda Health
| Facility | $46.39 | $46.39 | $46.39 | |
Providence
| Facility | $46.39 | $46.39 | $46.39 | |
Providence
| Professional | $20.43 | $20.43 | $20.43 |