| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.10 | $51.10 | $51.10 | |
Aetna
| Professional | $43.96 | $51.10 | $86.72 | |
Cigna
| Facility | $43.29 | $43.29 | $103.47 | |
Cigna
| Professional | $36.79 | $43.29 | $105.43 | |
Moda Health
| Facility | $43.97 | $58.21 | $119.65 | |
Moda Health
| Professional | $13.18 | $62.84 | $138.47 | |
Molina
| Professional | $7.49 | $74.95 | $76.90 | |
United
| Professional | $36.89 | $62.98 | $97.72 |