| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.18 | $44.18 | $44.18 | |
Aetna
| Professional | $17.86 | $17.86 | $44.18 | |
Moda Health
| Facility | $1.31 | $17.86 | $25.54 | |
Molina
| Professional | $9.77 | $30.00 | $78.00 | |
United
| Professional | $21.01 | $21.01 | $29.41 |