| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.68 | $271.68 | $271.68 | |
Aetna
| Professional | $268.68 | $403.99 | $611.12 | |
Cigna
| Facility | $338.00 | $338.00 | $338.00 | |
Cigna
| Professional | $41.13 | $338.00 | $338.00 | |
Moda Health
| Facility | $54.05 | $285.73 | $528.00 | |
Molina
| Professional | $3.20 | $31.98 | $54.05 | |
United
| Professional | $200.30 | $220.16 | $471.05 |