| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $0.12 | |
Aetna
| Professional | $0.10 | $0.10 | $0.15 | |
Moda Health
| Facility | $0.10 | $0.10 | $0.14 | |
Moda Health
| Professional | $0.10 | $0.10 | $0.10 | |
Molina
| Professional | $55.00 | $78.00 | $1,500.00 | |
United
| Professional | $0.13 | $0.13 | $0.13 |