| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.50 | $85.57 | $99.60 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
Moda Health
| Facility | $66.41 | $87.55 | $105.46 | |
Moda Health
| Professional | $75.00 | $99.56 | $110.04 | |
Molina
| Professional | $42.50 | $162.44 | $183.40 | |
United
| Professional | $46.36 | $47.71 | $50.14 |