| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.44 | $87.36 | $93.80 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Moda Health
| Facility | $67.87 | $89.48 | $107.12 | |
Moda Health
| Professional | $81.99 | $101.76 | $107.12 | |
Molina
| Professional | $30.00 | $166.04 | $208.88 | |
United
| Professional | $47.41 | $49.13 | $71.58 |