| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.68 | $12.68 | $44.84 | |
Aetna
| Professional | $7.88 | $12.81 | $12.81 | |
Moda Health
| Facility | $18.32 | $18.32 | $18.32 | |
Providence
| Facility | $18.32 | $18.32 | $18.32 | |
United
| Professional | $9.49 | $14.24 | $19.14 |