| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.45 | $0.45 | $0.45 | |
Aetna
| Professional | $0.36 | $0.38 | $0.45 | |
Moda Health
| Facility | $0.38 | $0.41 | $3.70 | |
Moda Health
| Professional | $3.04 | $3.04 | $3.04 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
United
| Professional | $4.25 | $4.25 | $4.83 |