| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.56 | $48.58 | $55.69 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Moda Health
| Facility | $37.65 | $51.93 | $63.60 | |
Moda Health
| Professional | $48.67 | $60.42 | $63.60 | |
Molina
| Professional | $18.53 | $98.58 | $124.02 | |
United
| Professional | $25.19 | $25.93 | $27.25 |