| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.44 | $32.03 | $44.00 | |
Aetna
| Professional | $7.73 | $12.57 | $12.57 | |
Moda Health
| Facility | $7.91 | $7.91 | $7.91 | |
Providence
| Facility | $7.91 | $7.91 | $7.91 | |
United
| Professional | $14.24 | $15.26 | $30.51 |