| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.87 | $136.00 | $345.00 | |
Cigna
| Professional | $18.77 | $18.77 | $18.77 | |
Moda Health
| Facility | $8.00 | $8.00 | $25.87 | |
Molina
| Professional | $1,500.00 | $1,500.00 | $1,500.00 |