| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.28 | $49.98 | $59.14 | |
Cigna
| Professional | $29.38 | $29.38 | $29.38 | |
Moda Health
| Facility | $38.78 | $51.27 | $61.21 | |
Moda Health
| Professional | $46.84 | $58.15 | $61.21 | |
Molina
| Professional | $6.80 | $94.88 | $119.36 | |
United
| Professional | $23.91 | $29.06 | $30.54 |