| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.61 | $79.89 | $85.68 | |
Cigna
| Professional | $43.73 | $43.73 | $43.73 | |
Moda Health
| Facility | $61.99 | $81.73 | $97.84 | |
Moda Health
| Professional | $74.88 | $92.95 | $98.00 | |
Molina
| Professional | $30.00 | $151.65 | $190.79 | |
United
| Professional | $42.02 | $43.25 | $45.45 |