| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.84 | $189.00 | $189.00 | |
Aetna
| Professional | $38.00 | $50.50 | $189.00 | |
Cigna
| Professional | $102.00 | $122.00 | $181.00 | |
Moda Health
| Professional | $127.50 | $129.56 | $129.56 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |