| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.81 | $7.81 | $7.81 | |
Aetna
| Professional | $6.25 | $6.72 | $7.81 | |
Cigna
| Facility | $4.82 | $4.82 | $4.82 | |
Cigna
| Professional | $4.82 | $4.82 | $4.82 | |
Moda Health
| Facility | $6.64 | $6.64 | $8.50 | |
Moda Health
| Professional | $6.41 | $6.41 | $6.64 | |
Molina
| Professional | $55.00 | $78.00 | $1,500.00 | |
United
| Professional | $0.02 | $0.02 | $0.03 |