| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.00 | $15.00 | $528.39 | |
Aetna
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $1.68 | $1.68 | $1.68 | |
Moda Health
| Facility | $15.00 | $15.30 | $19.20 | |
Molina
| Professional | $30.00 | $55.00 | $3,500.00 |