| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.60 | $84.00 | $100.46 | |
Cigna
| Professional | $42.55 | $42.55 | $42.55 | |
Moda Health
| Facility | $60.95 | $85.93 | $106.37 | |
Moda Health
| Professional | $77.31 | $97.74 | $102.88 | |
Molina
| Professional | $12.75 | $159.46 | $200.62 | |
United
| Professional | $40.88 | $42.08 | $44.22 |