| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.15 | $87.77 | $96.04 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
Moda Health
| Facility | $67.75 | $89.57 | $106.94 | |
Moda Health
| Professional | $81.83 | $101.59 | $106.94 | |
Molina
| Professional | $30.00 | $165.76 | $208.53 | |
United
| Professional | $49.33 | $50.77 | $53.35 |