| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $1.69 | $1.69 | |
Aetna
| Professional | $1.35 | $1.45 | $1.69 | |
Cigna
| Facility | $1.44 | $1.44 | $1.44 | |
Cigna
| Professional | $1.44 | $1.44 | $3.15 | |
Moda Health
| Facility | $1.44 | $1.44 | $1.84 | |
Moda Health
| Professional | $1.39 | $1.44 | $2.02 | |
Molina
| Professional | $55.00 | $78.00 | $1,500.00 | |
United
| Professional | $0.09 | $0.09 | $0.13 |