| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.33 | $32.33 | $147.54 | |
Aetna
| Professional | $25.87 | $25.87 | $34.14 | |
Cigna
| Professional | $18.77 | $18.77 | $18.77 | |
Moda Health
| Facility | $8.00 | $8.00 | $8.00 | |
Providence
| Facility | $8.00 | $8.00 | $8.00 | |
Providence
| Professional | $18.77 | $18.77 | $18.77 |