| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $18.11 | $18.11 | |
Aetna
| Professional | $18.11 | $18.11 | $18.11 | |
Cigna
| Professional | $0.02 | $0.02 | $0.02 | |
Moda Health
| Facility | $6.19 | $7.73 | $10.05 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 |