| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.62 | $18.62 | $27.93 | |
Cigna
| Professional | $17.52 | $17.52 | $17.52 | |
Moda Health
| Facility | $39.94 | $39.94 | $39.94 | |
Moda Health
| Professional | $12.30 | $12.30 | $17.57 | |
Providence
| Facility | $39.94 | $39.94 | $39.94 | |
Providence
| Professional | $12.30 | $17.52 | $17.57 | |
United
| Professional | $18.62 | $18.62 | $18.94 |