| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.13 | $42.13 | $42.13 | |
Aetna
| Professional | $29.99 | $38.00 | $88.40 | |
Cigna
| Professional | $14.86 | $14.86 | $14.86 | |
Moda Health
| Facility | $35.28 | $38.00 | $43.22 | |
Molina
| Professional | $1,500.00 | $1,500.00 | $1,500.00 |