| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $821.20 | $821.20 | $821.20 | |
Aetna
| Professional | $623.70 | $821.20 | $1,226.57 | |
Cigna
| Professional | $75.70 | $768.75 | $768.75 | |
Moda Health
| Facility | $110.30 | $527.85 | $913.33 | |
Molina
| Professional | $48.24 | $79.49 | $596.17 | |
United
| Professional | $371.28 | $445.12 | $734.05 |