| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.77 | $92.95 | $101.80 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
Moda Health
| Facility | $68.88 | $95.75 | $116.26 | |
Moda Health
| Professional | $88.98 | $110.45 | $116.26 | |
Molina
| Professional | $12.75 | $180.20 | $226.71 | |
United
| Professional | $48.90 | $50.68 | $77.69 |