| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.52 | $82.75 | $97.49 | |
Cigna
| Professional | $43.62 | $43.62 | $43.62 | |
Moda Health
| Facility | $65.94 | $90.90 | $111.34 | |
Moda Health
| Professional | $85.20 | $105.77 | $111.34 | |
Molina
| Professional | $49.30 | $172.58 | $217.11 | |
United
| Professional | $41.92 | $43.14 | $45.34 |