| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $837.36 | $837.36 | $837.36 | |
Aetna
| Professional | $524.64 | $837.36 | $1,188.97 | |
Cigna
| Professional | $81.44 | $739.60 | $739.60 | |
Moda Health
| Facility | $97.91 | $579.60 | $1,188.97 | |
Molina
| Professional | $62.24 | $97.91 | $885.96 | |
United
| Professional | $51.01 | $54.05 | $585.52 |