| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.64 | $83.47 | $83.47 | |
Cigna
| Professional | $385.20 | $385.20 | $385.20 | |
Moda Health
| Facility | $83.47 | $83.47 | $83.47 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |