| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.63 | $150.88 | $166.16 | |
Cigna
| Professional | $86.76 | $86.76 | $86.76 | |
Moda Health
| Facility | $114.60 | $154.15 | $184.57 | |
Moda Health
| Professional | $141.24 | $175.34 | $193.80 | |
Molina
| Professional | $30.00 | $286.08 | $359.91 | |
United
| Professional | $83.36 | $85.80 | $90.17 |