| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9.16 | $9.16 | $9.16 | |
Cigna
| Professional | $9.16 | $9.16 | $9.16 | |
Moda Health
| Facility | $10.28 | $10.28 | $10.28 | |
Moda Health
| Professional | $10.53 | $10.53 | $10.53 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
United
| Professional | $10.36 | $10.36 | $13.25 |