| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $46.77 | $54.95 | |
BCBS
| Professional | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
Moda Health
| Facility | $33.88 | $47.86 | $63.10 | |
Moda Health
| Professional | $40.74 | $52.48 | $54.95 | |
Molina
| Professional | $6.76 | $6.76 | $7.94 | |
Select Health
| Professional | $50.12 | $54.95 | $67.61 | |
United
| Professional | $20.89 | $25.70 | $30.20 |