| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.38 | $169.23 | $192.72 | |
Cigna
| Professional | $91.11 | $91.11 | $91.11 | |
Moda Health
| Facility | $131.32 | $169.23 | $207.27 | |
Moda Health
| Professional | $158.61 | $196.91 | $217.63 | |
Molina
| Professional | $30.00 | $34.00 | $362.72 | |
United
| Professional | $87.56 | $90.74 | $138.49 |