| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.11 | $96.89 | $96.89 | |
Cigna
| Facility | $64.66 | $64.66 | $64.66 | |
Cigna
| Professional | $64.66 | $86.85 | $92.55 | |
Moda Health
| Facility | $33.32 | $33.32 | $33.32 | |
Moda Health
| Professional | $107.45 | $107.45 | $169.67 | |
Providence
| Facility | $33.32 | $33.32 | $64.66 | |
Providence
| Professional | $64.66 | $86.93 | $102.90 | |
United
| Professional | $54.66 | $108.15 | $282.12 |