| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.36 | $121.32 | $154.35 | |
Cigna
| Professional | $71.33 | $71.33 | $71.33 | |
Moda Health
| Facility | $94.15 | $125.66 | $165.95 | |
Moda Health
| Professional | $113.72 | $141.16 | $156.03 | |
Molina
| Professional | $30.00 | $230.33 | $289.77 | |
United
| Professional | $68.54 | $70.55 | $74.14 |