| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.60 | $100.85 | $108.16 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Moda Health
| Facility | $78.25 | $103.15 | $123.53 | |
Moda Health
| Professional | $94.52 | $117.35 | $123.53 | |
Molina
| Professional | $30.00 | $191.47 | $240.88 | |
United
| Professional | $55.40 | $57.43 | $59.93 |