| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.57 | $173.17 | $185.71 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
Moda Health
| Facility | $134.36 | $179.34 | $236.85 | |
Moda Health
| Professional | $162.30 | $201.48 | $222.68 | |
Molina
| Professional | $4.25 | $38.25 | $371.14 | |
United
| Professional | $97.82 | $101.39 | $165.99 |