| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $21.88 | $21.88 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
Moda Health
| Facility | $22.39 | $22.39 | $23.44 | |
Moda Health
| Professional | $9.55 | $21.88 | $331.13 | |
Providence
| Facility | $22.39 | $23.44 | $75.86 | |
Providence
| Professional | $21.38 | $21.38 | $79.43 |