| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.21 | $43.91 | $57.95 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Moda Health
| Facility | $34.07 | $45.06 | $59.70 | |
Moda Health
| Professional | $41.16 | $51.10 | $53.79 | |
Molina
| Professional | $6.80 | $83.37 | $104.89 | |
United
| Professional | $24.81 | $25.72 | $26.83 |