| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Moda Health
| Facility | $7.50 | $7.50 | $9.60 | |
Molina
| Professional | $2,000.00 | $3,500.00 | $3,900.00 |