| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.78 | $56.90 | $78.97 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Moda Health
| Facility | $44.15 | $58.37 | $80.33 | |
Moda Health
| Professional | $52.37 | $66.20 | $69.69 | |
Molina
| Professional | $6.80 | $108.02 | $135.90 | |
United
| Professional | $32.15 | $33.08 | $34.76 |