| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.72 | $78.56 | $94.62 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
Moda Health
| Facility | $60.96 | $80.59 | $97.48 | |
Moda Health
| Professional | $73.63 | $96.22 | $101.03 | |
Molina
| Professional | $30.00 | $168.39 | $187.63 | |
United
| Professional | $44.38 | $46.00 | $48.01 |