| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.78 | $65.22 | $78.87 | |
Cigna
| Professional | $36.94 | $36.94 | $36.94 | |
Moda Health
| Facility | $48.75 | $65.08 | $83.51 | |
Moda Health
| Professional | $58.89 | $73.11 | $76.95 | |
Molina
| Professional | $30.00 | $119.29 | $150.07 | |
United
| Professional | $35.50 | $36.79 | $38.39 |