| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $30.20 | $229.09 | |
Cigna
| Professional | $16.60 | $16.60 | $16.60 | |
Moda Health
| Professional | $12.30 | $30.20 | $154.88 | |
Providence
| Professional | $4.17 | $4.17 | $100.00 |