| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.29 | $22.23 | $22.23 | |
Aetna
| Professional | $3.90 | $6.35 | $6.35 | |
Moda Health
| Facility | $4.00 | $4.00 | $4.00 | |
Providence
| Facility | $4.00 | $4.00 | $4.00 | |
United
| Professional | $8.90 | $9.53 | $19.07 |