| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.32 | $43.86 | $51.91 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
Moda Health
| Facility | $34.29 | $48.40 | $59.29 | |
Moda Health
| Professional | $45.36 | $56.33 | $59.29 | |
Molina
| Professional | $18.53 | $21.80 | $115.62 | |
United
| Professional | $22.70 | $23.37 | $24.56 |