| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.42 | $43.89 | $53.29 | |
Cigna
| Professional | $22.57 | $22.57 | $22.57 | |
Moda Health
| Facility | $32.76 | $44.90 | $53.76 | |
Moda Health
| Professional | $41.14 | $51.07 | $53.76 | |
Molina
| Professional | $4.25 | $83.33 | $104.83 | |
United
| Professional | $21.68 | $22.32 | $23.46 |