| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.59 | $56.81 | $66.80 | |
Cigna
| Professional | $32.08 | $32.08 | $32.08 | |
Moda Health
| Facility | $42.95 | $56.63 | $67.81 | |
Moda Health
| Professional | $51.90 | $64.43 | $67.81 | |
Molina
| Professional | $6.80 | $105.12 | $132.25 | |
United
| Professional | $30.82 | $31.72 | $33.34 |