| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $22.91 | $28.18 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
Moda Health
| Facility | $7.94 | $7.94 | $7.94 | |
Moda Health
| Professional | $22.91 | $22.91 | $22.91 | |
Providence
| Facility | $7.94 | $7.94 | $7.94 | |
Providence
| Professional | $26.92 | $26.92 | $26.92 |