| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.60 | $257.60 | $4,500.00 | |
Aetna
| Professional | $47.86 | $47.86 | $1,456.81 | |
Cigna
| Professional | $7.60 | $7.60 | $7.60 | |
Moda Health
| Facility | $47.86 | $61.26 | $87.58 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |