| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $72.44 | $81.28 | |
BCBS
| Professional | $85.11 | $85.11 | $85.11 | |
Cigna
| Professional | $36.31 | $36.31 | $36.31 | |
Moda Health
| Facility | $47.86 | $70.79 | $81.28 | |
Moda Health
| Professional | $52.48 | $72.44 | $81.28 | |
Molina
| Professional | $6.76 | $6.76 | $7.94 | |
Select Health
| Professional | $74.13 | $79.43 | $81.28 | |
United
| Professional | $29.51 | $34.67 | $37.15 |