| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
Moda Health
| Facility | $20.00 | $20.00 | $25.60 | |
Molina
| Professional | $2,000.00 | $3,500.00 | $3,900.00 |