| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $240.63 | $298.91 | $570.23 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $318.39 | |
Moda Health
| Facility | $15.29 | $269.57 | $570.23 | |
Moda Health
| Professional | $46.93 | $46.93 | $46.93 | |
Molina
| Professional | $30.00 | $46.47 | $391.53 | |
United
| Professional | $23.17 | $30.98 | $51.63 |