| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.14 | $119.23 | $127.86 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
Moda Health
| Facility | $92.51 | $121.95 | $146.01 | |
Moda Health
| Professional | $111.75 | $138.71 | $146.01 | |
Molina
| Professional | $30.00 | $226.32 | $284.72 | |
United
| Professional | $66.06 | $67.98 | $71.45 |