| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.49 | $320.58 | $936.06 | |
Aetna
| Professional | $102.14 | $108.49 | $135.00 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 | |
Moda Health
| Facility | $102.14 | $146.06 | $250.40 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |