| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.66 | $1.66 | $1.66 | |
Cigna
| Professional | $0.83 | $0.83 | $0.83 | |
Moda Health
| Facility | $0.28 | $0.47 | $1.41 | |
Moda Health
| Professional | $60.26 | $60.26 | $60.26 | |
Providence
| Facility | $0.28 | $0.47 | $1.35 | |
Providence
| Professional | $0.83 | $0.83 | $60.26 | |
United
| Professional | $0.83 | $1.26 | $2.09 |