| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.55 | $108.56 | $125.43 | |
Cigna
| Professional | $62.26 | $62.26 | $62.26 | |
Moda Health
| Facility | $84.23 | $111.04 | $132.97 | |
Moda Health
| Professional | $101.75 | $126.32 | $132.97 | |
Molina
| Professional | $17.00 | $206.10 | $259.29 | |
United
| Professional | $59.83 | $62.00 | $64.70 |