| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.53 | $91.87 | $238.86 | |
Aetna
| Professional | $68.13 | $68.13 | $91.87 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 | |
Moda Health
| Facility | $59.27 | $68.13 | $88.72 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |