| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $104.71 | $128.82 | |
BCBS
| Professional | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Moda Health
| Facility | $77.62 | $107.15 | $138.04 | |
Moda Health
| Professional | $93.33 | $120.23 | $125.89 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
Select Health
| Professional | $114.82 | $123.03 | $125.89 | |
United
| Professional | $39.81 | $54.95 | $60.26 |