| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.66 | $520.91 | $559.92 | |
Cigna
| Professional | $282.08 | $282.08 | $282.08 | |
Moda Health
| Facility | $377.94 | $539.54 | $637.99 | |
Moda Health
| Professional | $488.23 | $606.09 | $669.89 | |
Molina
| Professional | $30.00 | $319.50 | $1,244.08 | |
United
| Professional | $271.07 | $278.99 | $293.18 |