| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.18 | $81.51 | $98.74 | |
Cigna
| Professional | $44.38 | $44.38 | $44.38 | |
Moda Health
| Facility | $59.15 | $83.40 | $107.95 | |
Moda Health
| Professional | $75.04 | $94.83 | $99.82 | |
Molina
| Professional | $12.75 | $15.00 | $194.65 | |
United
| Professional | $42.65 | $43.90 | $46.13 |