| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.26 | $16.26 | $16.26 | |
Aetna
| Professional | $14.82 | $14.82 | $16.26 | |
Cigna
| Professional | $4.38 | $4.38 | $4.38 | |
Moda Health
| Facility | $14.82 | $14.82 | $34.54 | |
Molina
| Professional | $30.00 | $78.00 | $1,500.00 | |
United
| Professional | $5.31 | $5.63 | $8.90 |