| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.79 | $643.79 | $643.79 | |
Aetna
| Professional | $406.80 | $643.79 | $923.29 | |
Cigna
| Facility | $356.59 | $356.59 | $356.59 | |
Cigna
| Professional | $58.89 | $356.59 | $356.59 | |
Moda Health
| Facility | $78.08 | $432.65 | $923.29 | |
Molina
| Professional | $48.33 | $68.92 | $516.96 | |
United
| Professional | $367.90 | $396.20 | $847.81 |