| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.22 | $24.22 | $24.22 | |
Aetna
| Professional | $22.79 | $24.22 | $24.50 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 | |
Moda Health
| Facility | $7.99 | $24.50 | $31.00 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |