| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.00 | $254.38 | $254.38 | |
Aetna
| Professional | $202.00 | $228.97 | $273.64 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Moda Health
| Facility | $202.00 | $225.97 | $277.14 | |
Molina
| Professional | $1,500.00 | $2,000.00 | $3,900.00 |