| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.76 | $9.77 | $9.77 | |
Aetna
| Professional | $1.72 | $2.79 | $2.79 | |
Moda Health
| Facility | $1.76 | $1.76 | $1.76 | |
Providence
| Facility | $1.76 | $1.76 | $1.76 | |
United
| Professional | $5.84 | $6.26 | $12.51 |