| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $10.00 | $17.38 | |
Moda Health
| Facility | $6.61 | $7.24 | $12.30 | |
Moda Health
| Professional | $3.98 | $10.00 | $17.38 | |
Molina
| Professional | $30.20 | $30.20 | $77.62 | |
United
| Professional | $34.67 | $39.81 | $60.26 |