| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.59 | $149.47 | $174.28 | |
Cigna
| Professional | $87.87 | $87.87 | $87.87 | |
Moda Health
| Facility | $108.43 | $154.80 | $184.53 | |
Moda Health
| Professional | $140.10 | $173.91 | $192.21 | |
Molina
| Professional | $30.00 | $283.74 | $356.97 | |
United
| Professional | $84.44 | $86.91 | $91.33 |