| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $584.17 | $584.17 | $584.17 | |
Aetna
| Professional | $349.74 | $584.17 | $813.56 | |
Cigna
| Facility | $429.00 | $429.00 | $429.00 | |
Cigna
| Professional | $54.03 | $429.00 | $429.00 | |
Moda Health
| Facility | $70.59 | $373.73 | $654.39 | |
Molina
| Professional | $4.29 | $31.94 | $70.59 | |
United
| Professional | $272.19 | $302.87 | $648.07 |