| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.57 | $53.91 | $60.42 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Moda Health
| Facility | $40.99 | $53.91 | $66.03 | |
Moda Health
| Professional | $50.53 | $62.73 | $66.03 | |
Molina
| Professional | $6.80 | $102.35 | $128.76 | |
United
| Professional | $27.45 | $28.25 | $29.69 |