| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.83 | $586.83 | $586.83 | |
Aetna
| Professional | $344.40 | $586.83 | $790.19 | |
Cigna
| Facility | $316.74 | $316.74 | $316.74 | |
Cigna
| Professional | $52.19 | $316.74 | $316.74 | |
Moda Health
| Facility | $70.73 | $362.10 | $673.86 | |
Molina
| Professional | $4.03 | $31.02 | $74.81 | |
United
| Professional | $265.26 | $289.79 | $620.21 |