| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.87 | $76.83 | $131.99 | |
Cigna
| Professional | $81.77 | $111.41 | $122.92 | |
Moda Health
| Facility | $81.77 | $83.31 | $126.75 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 | |
United
| Professional | $92.57 | $92.57 | $92.57 |