| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.21 | $20.21 | $20.21 | |
Aetna
| Professional | $19.02 | $20.21 | $20.45 | |
Cigna
| Professional | $11.05 | $11.05 | $11.05 | |
Moda Health
| Facility | $11.70 | $20.45 | $26.18 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |