| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.28 | $87.71 | $113.89 | |
Cigna
| Professional | $46.82 | $46.82 | $46.82 | |
Moda Health
| Facility | $77.05 | $106.20 | $130.07 | |
Moda Health
| Professional | $99.54 | $123.57 | $136.57 | |
Molina
| Professional | $30.00 | $201.61 | $253.64 | |
United
| Professional | $45.00 | $46.64 | $48.67 |