| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.59 | $68.95 | $73.95 | |
Cigna
| Professional | $37.88 | $37.88 | $37.88 | |
Moda Health
| Facility | $53.52 | $69.84 | $89.00 | |
Moda Health
| Professional | $64.64 | $80.23 | $84.46 | |
Molina
| Professional | $9.35 | $130.91 | $164.70 | |
United
| Professional | $36.40 | $37.46 | $39.36 |