| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.32 | $59.90 | $65.30 | |
Cigna
| Professional | $32.92 | $32.92 | $32.92 | |
Moda Health
| Facility | $46.48 | $61.28 | $73.37 | |
Moda Health
| Professional | $56.15 | $69.70 | $75.00 | |
Molina
| Professional | $9.35 | $113.72 | $143.07 | |
United
| Professional | $31.63 | $32.56 | $34.21 |