| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $53.70 | $60.26 | |
BCBS
| Professional | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Moda Health
| Facility | $38.02 | $56.23 | $69.18 | |
Moda Health
| Professional | $45.71 | $53.70 | $63.10 | |
Molina
| Professional | $6.76 | $6.76 | $7.94 | |
Select Health
| Professional | $56.23 | $63.10 | $63.10 | |
United
| Professional | $23.99 | $28.84 | $30.20 |