| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.65 | $86.05 | $92.29 | |
Cigna
| Professional | $42.61 | $42.61 | $42.61 | |
Moda Health
| Facility | $62.43 | $88.03 | $105.40 | |
Moda Health
| Professional | $80.66 | $100.13 | $105.40 | |
Molina
| Professional | $25.50 | $163.37 | $205.53 | |
United
| Professional | $40.96 | $42.44 | $70.42 |