| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.13 | $241.13 | $241.13 | |
Aetna
| Professional | $161.83 | $243.45 | $362.58 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Moda Health
| Facility | $243.45 | $311.62 | $464.10 | |
Moda Health
| Professional | $261.45 | $261.45 | $275.20 | |
Molina
| Professional | $30.00 | $426.58 | $481.62 | |
United
| Professional | $144.59 | $144.59 | $240.98 |