| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.94 | $2.94 | $10.40 | |
Aetna
| Professional | $1.83 | $2.97 | $2.97 | |
Moda Health
| Facility | $4.25 | $4.25 | $4.25 | |
Providence
| Facility | $4.25 | $4.25 | $4.25 | |
United
| Professional | $1.86 | $2.79 | $3.75 |