| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.04 | $1.04 | $1.04 | |
Aetna
| Professional | $0.83 | $0.88 | $1.04 | |
Moda Health
| Facility | $0.41 | $0.89 | $1.27 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
United
| Professional | $1.04 | $1.04 | $1.04 |