| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.06 | $2.06 | $2.06 | |
Aetna
| Professional | $1.66 | $1.78 | $2.06 | |
Moda Health
| Facility | $1.76 | $1.76 | $2.54 | |
Moda Health
| Professional | $1.70 | $1.70 | $1.76 | |
Molina
| Professional | $55.00 | $78.00 | $1,500.00 | |
United
| Facility | $1.67 | $2.09 | $3.92 | |
United
| Professional | $1.67 | $4.17 | $4.17 |