| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $44.67 | $44.67 | $60.26 | |
Moda Health
| Facility | $45.71 | $45.71 | $60.26 | |
Moda Health
| Professional | $44.67 | $44.67 | $60.26 | |
Molina
| Professional | $30.20 | $30.20 | $77.62 | |
United
| Facility | $302.00 | $302.00 | $302.00 |