| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $33.11 | |
Aetna
| Professional | $33.11 | $33.88 | $41.69 | |
BCBS
| Facility | $588.84 | $630.96 | $676.08 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Moda Health
| Facility | $32.36 | $34.67 | $43.65 | |
Moda Health
| Professional | $33.11 | $33.88 | $38.90 | |
Molina
| Professional | $30.20 | $30.20 | $77.62 |