| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.59 | $5.64 | $5.64 | |
Aetna
| Professional | $0.99 | $1.61 | $1.61 | |
Moda Health
| Facility | $1.01 | $1.01 | $1.01 | |
Providence
| Facility | $1.01 | $1.01 | $1.01 | |
United
| Professional | $1.46 | $1.56 | $3.12 |