| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.04 | $31.04 | $71.03 | |
Aetna
| Professional | $31.04 | $37.15 | $37.15 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Moda Health
| Facility | $37.15 | $37.15 | $47.56 | |
Molina
| Professional | $30.00 | $55.00 | $3,500.00 |