| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.00 | $67.84 | $72.75 | |
Cigna
| Professional | $37.20 | $37.20 | $37.20 | |
Moda Health
| Facility | $52.63 | $70.25 | $83.09 | |
Moda Health
| Professional | $63.57 | $78.94 | $83.09 | |
Molina
| Professional | $9.35 | $128.79 | $162.03 | |
United
| Professional | $35.75 | $36.79 | $38.65 |