| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.19 | $2.19 | $2.19 | |
Cigna
| Professional | $2.19 | $2.19 | $2.19 | |
Moda Health
| Facility | $1.64 | $1.64 | $1.64 | |
Moda Health
| Professional | $3.01 | $3.01 | $3.01 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
United
| Professional | $3.57 | $3.57 | $4.24 |