| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.43 | $311.33 | $311.33 | |
Aetna
| Professional | $106.05 | $180.10 | $311.33 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
Moda Health
| Facility | $142.33 | $252.05 | $322.62 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 | |
United
| Professional | $342.87 | $342.87 | $342.87 |