| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.41 | $56.05 | $66.98 | |
Cigna
| Professional | $29.54 | $29.54 | $29.54 | |
Moda Health
| Facility | $45.31 | $62.46 | $76.48 | |
Moda Health
| Professional | $58.53 | $72.67 | $76.48 | |
Molina
| Professional | $9.35 | $118.56 | $149.16 | |
United
| Professional | $28.39 | $29.21 | $30.70 |