| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.10 | $65.41 | $70.14 | |
Cigna
| Professional | $36.14 | $36.14 | $36.14 | |
Moda Health
| Facility | $50.76 | $65.41 | $80.09 | |
Moda Health
| Professional | $60.22 | $76.09 | $80.09 | |
Molina
| Professional | $6.80 | $124.16 | $156.19 | |
United
| Professional | $34.72 | $36.00 | $37.57 |