| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $33.70 | $33.70 | |
Aetna
| Professional | $30.00 | $32.92 | $36.76 | |
Cigna
| Professional | $21.90 | $21.90 | $21.90 | |
Moda Health
| Facility | $30.00 | $32.32 | $38.40 | |
Molina
| Professional | $1,500.00 | $2,000.00 | $3,900.00 |