| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.13 | $96.94 | $110.24 | |
Cigna
| Professional | $48.97 | $48.97 | $48.97 | |
Moda Health
| Facility | $71.48 | $102.79 | $125.90 | |
Moda Health
| Professional | $96.35 | $119.61 | $125.90 | |
Molina
| Professional | $34.00 | $195.15 | $245.51 | |
United
| Professional | $47.06 | $48.44 | $50.90 |