| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.47 | $22.23 | $28.58 | |
Cigna
| Professional | $20.72 | $20.72 | $20.72 | |
Hally Health
| Professional | $61.17 | $61.17 | $70.01 | |
Moda Health
| Facility | $16.82 | $21.94 | $28.58 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |