| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.49 | $9.49 | $9.49 | |
Aetna
| Professional | $7.59 | $8.07 | $9.49 | |
Moda Health
| Facility | $8.07 | $8.65 | $11.67 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
United
| Professional | $9.49 | $9.49 | $10.95 |