| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.68 | $74.30 | $85.14 | |
Cigna
| Professional | $39.15 | $39.15 | $39.15 | |
Moda Health
| Facility | $55.30 | $71.43 | $87.71 | |
Moda Health
| Professional | $65.59 | $82.92 | $87.28 | |
Molina
| Professional | $6.80 | $135.28 | $170.20 | |
United
| Professional | $37.63 | $39.00 | $58.32 |