| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.34 | $11.34 | $11.34 | |
Cigna
| Professional | $17.84 | $17.84 | $17.84 | |
Moda Health
| Facility | $16.22 | $16.22 | $16.22 | |
Providence
| Facility | $16.22 | $16.22 | $16.22 | |
Providence
| Professional | $17.84 | $17.84 | $17.84 | |
United
| Professional | $39.26 | $57.90 | $87.65 |