| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.97 | $63.72 | $68.34 | |
Cigna
| Professional | $33.68 | $33.68 | $33.68 | |
Moda Health
| Facility | $48.90 | $65.19 | $78.05 | |
Moda Health
| Professional | $59.72 | $74.15 | $78.05 | |
Molina
| Professional | $9.35 | $120.98 | $152.19 | |
United
| Professional | $31.64 | $33.31 | $35.01 |