| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $33.88 | $91.20 | $93.33 | |
BCBS
| Professional | $43.65 | $43.65 | $45.71 | |
Moda Health
| Facility | $36.31 | $93.33 | $95.50 | |
Moda Health
| Professional | $87.10 | $91.20 | $93.33 | |
Select Health
| Professional | $33.88 | $33.88 | $33.88 |