| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.75 | $2.66 | $2.66 | |
Aetna
| Professional | $0.46 | $0.76 | $0.76 | |
Cigna
| Professional | $3.85 | $3.85 | $3.85 | |
Moda Health
| Facility | $0.48 | $0.48 | $0.48 | |
Moda Health
| Professional | $4.66 | $4.66 | $6.65 | |
Providence
| Facility | $0.48 | $0.48 | $0.48 | |
Providence
| Professional | $3.85 | $4.66 | $6.65 | |
United
| Professional | $6.34 | $6.80 | $13.59 |