| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.45 | $131.72 | $137.68 | |
Moda Health
| Facility | $131.72 | $131.72 | $201.53 | |
Moda Health
| Professional | $460.20 | $460.20 | $460.20 | |
Providence
| Facility | $131.72 | $131.72 | $184.41 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |