| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.45 | $45.14 | $56.15 | |
Cigna
| Professional | $23.78 | $23.78 | $23.78 | |
Moda Health
| Facility | $34.22 | $46.18 | $57.84 | |
Moda Health
| Professional | $42.31 | $52.53 | $55.29 | |
Molina
| Professional | $4.25 | $85.70 | $107.82 | |
United
| Professional | $22.85 | $23.52 | $29.72 |