| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $15.73 | $42.50 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Moda Health
| Facility | $20.00 | $36.60 | $36.60 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 | |
United
| Professional | $30.38 | $30.38 | $30.38 |