| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.86 | $41.69 | $44.71 | |
Cigna
| Professional | $19.59 | $19.59 | $19.59 | |
Moda Health
| Facility | $30.24 | $42.64 | $51.06 | |
Moda Health
| Professional | $39.07 | $48.51 | $52.00 | |
Molina
| Professional | $10.19 | $79.14 | $99.57 | |
United
| Professional | $18.82 | $19.38 | $20.36 |