| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.29 | $75.89 | $82.50 | |
Cigna
| Professional | $41.03 | $41.03 | $41.03 | |
Moda Health
| Facility | $58.49 | $78.18 | $94.22 | |
Moda Health
| Professional | $72.09 | $89.51 | $94.22 | |
Molina
| Professional | $9.35 | $11.00 | $183.73 | |
United
| Professional | $39.43 | $40.58 | $42.65 |