| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.01 | $156.22 | $167.55 | |
Cigna
| Professional | $91.84 | $91.84 | $91.84 | |
Moda Health
| Facility | $121.23 | $161.81 | $196.72 | |
Moda Health
| Professional | $146.43 | $181.77 | $200.91 | |
Molina
| Professional | $30.00 | $296.58 | $373.11 | |
United
| Professional | $88.26 | $90.84 | $95.46 |