| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.83 | $70.20 | $78.84 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
Moda Health
| Facility | $53.72 | $73.51 | $90.04 | |
Moda Health
| Professional | $68.89 | $85.54 | $94.54 | |
Molina
| Professional | $30.00 | $139.56 | $175.58 | |
United
| Professional | $34.76 | $36.85 | $46.25 |