| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.50 | $18.50 | $391.34 | |
Aetna
| Professional | $3.74 | $19.89 | $29.64 | |
Cigna
| Facility | $17.32 | $17.32 | $17.32 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
Moda Health
| Facility | $17.85 | $29.64 | $42.39 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
United
| Professional | $20.38 | $20.38 | $28.53 |