| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.64 | $55.95 | $65.72 | |
Cigna
| Professional | $29.80 | $29.80 | $29.80 | |
Moda Health
| Facility | $43.26 | $61.28 | $75.06 | |
Moda Health
| Professional | $57.44 | $71.31 | $75.06 | |
Molina
| Professional | $9.35 | $116.34 | $146.37 | |
United
| Professional | $28.63 | $29.47 | $30.97 |