| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.27 | $16.82 | $17.76 | |
Moda Health
| Facility | $12.68 | $16.93 | $26.74 | |
Moda Health
| Professional | $53.73 | $53.73 | $53.73 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |