| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.04 | $3.04 | $3.04 | |
Aetna
| Professional | $3.04 | $3.04 | $26.47 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Moda Health
| Facility | $3.04 | $16.00 | $28.28 | |
Molina
| Professional | $24.80 | $28.00 | $31.20 | |
United
| Professional | $16.80 | $21.66 | $30.15 |