| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.51 | $22.51 | $22.51 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
Moda Health
| Facility | $22.51 | $75.00 | $75.00 | |
Molina
| Professional | $1,500.00 | $1,500.00 | $1,500.00 |