| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $11.00 | $14.66 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Moda Health
| Facility | $4.40 | $16.04 | $16.04 | |
Providence
| Facility | $4.40 | $16.04 | $16.04 | |
Providence
| Professional | $0.12 | $0.12 | $0.12 |