| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
Cigna
| Professional | $51.00 | $51.00 | $51.00 | |
Moda Health
| Facility | $70.00 | $70.00 | $89.60 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |