| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.46 | $426.46 | $426.46 | |
Aetna
| Professional | $381.72 | $570.05 | $870.08 | |
Cigna
| Facility | $255.74 | $255.74 | $255.74 | |
Cigna
| Professional | $56.76 | $255.74 | $263.41 | |
Moda Health
| Facility | $74.75 | $417.02 | $844.03 | |
Molina
| Professional | $45.54 | $63.02 | $460.34 | |
United
| Professional | $314.41 | $337.79 | $530.89 |