| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.32 | $281.36 | $281.36 | |
Aetna
| Professional | $251.32 | $274.14 | $308.39 | |
Cigna
| Professional | $22.70 | $22.70 | $22.70 | |
Moda Health
| Facility | $251.32 | $269.77 | $324.58 | |
Molina
| Professional | $1,500.00 | $2,000.00 | $3,900.00 |