| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.01 | $373.01 | $373.01 | |
Aetna
| Professional | $352.14 | $533.75 | $802.39 | |
Cigna
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $54.43 | $150.00 | $150.00 | |
Moda Health
| Facility | $68.84 | $368.34 | $802.39 | |
Molina
| Professional | $31.49 | $57.81 | $433.55 | |
United
| Professional | $275.00 | $300.20 | $642.50 |