| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.84 | $80.84 | $80.84 | |
Aetna
| Professional | $64.67 | $68.70 | $80.84 | |
Moda Health
| Facility | $68.70 | $73.69 | $99.41 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
United
| Professional | $80.84 | $80.84 | $113.18 |