| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.38 | $70.00 | $98.18 | |
Cigna
| Professional | $88.31 | $88.31 | $88.31 | |
Moda Health
| Facility | $40.98 | $66.40 | $89.60 | |
Moda Health
| Professional | $84.01 | $84.01 | $84.01 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |