| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $754.59 | $754.59 | $754.59 | |
Aetna
| Professional | $678.78 | $678.78 | $754.59 | |
Cigna
| Facility | $536.83 | $536.83 | $536.83 | |
Cigna
| Professional | $456.31 | $536.83 | $552.92 | |
Moda Health
| Facility | $535.01 | $678.78 | $1,144.44 | |
Molina
| Professional | $55.00 | $55.00 | $55.00 |