| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.80 | $12.68 | $15.56 | |
Moda Health
| Facility | $12.68 | $13.95 | $19.92 | |
Moda Health
| Professional | $43.77 | $43.77 | $43.77 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |