| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.95 | $88.41 | $98.23 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Moda Health
| Facility | $66.45 | $91.59 | $112.19 | |
Moda Health
| Professional | $85.84 | $106.58 | $112.19 | |
Molina
| Professional | $30.00 | $196.33 | $218.77 | |
United
| Professional | $46.90 | $49.38 | $51.89 |