| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.51 | $9.55 | $42.66 | |
Aetna
| Professional | $1.23 | $2.00 | $2.51 | |
BCBS
| Facility | $15.85 | $15.85 | $34.67 | |
Moda Health
| Facility | $1.10 | $3.55 | $37.15 | |
Moda Health
| Professional | $1.10 | $2.00 | $2.00 | |
Molina
| Professional | $30.20 | $30.20 | $77.62 |