| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.56 | $126.00 | $126.00 | |
Aetna
| Professional | $38.00 | $50.50 | $126.00 | |
Cigna
| Professional | $51.00 | $61.00 | $90.50 | |
Moda Health
| Professional | $63.75 | $146.00 | $146.00 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |