| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.34 | $54.34 | $54.34 | |
Aetna
| Professional | $39.49 | $54.34 | $70.83 | |
Cigna
| Professional | $50.86 | $50.86 | $50.86 | |
Moda Health
| Facility | $51.59 | $56.75 | $90.66 | |
Molina
| Professional | $30.00 | $55.00 | $3,500.00 | |
United
| Professional | $60.55 | $60.55 | $60.55 |