| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.91 | $3.22 | $3.22 | |
Aetna
| Professional | $0.56 | $0.92 | $0.92 | |
Moda Health
| Facility | $0.57 | $0.57 | $0.57 | |
Providence
| Facility | $0.57 | $0.57 | $0.57 | |
United
| Professional | $0.17 | $0.18 | $0.36 |