| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $45.71 | $45.71 | |
Moda Health
| Facility | $46.77 | $46.77 | $61.66 | |
Moda Health
| Professional | $45.71 | $45.71 | $60.26 | |
Providence
| Facility | $46.77 | $46.77 | $61.66 | |
Providence
| Professional | $60.26 | $60.26 | $60.26 |