| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.45 | $21.51 | $23.82 | |
Cigna
| Professional | $12.15 | $12.15 | $12.15 | |
Moda Health
| Facility | $16.04 | $21.20 | $25.31 | |
Moda Health
| Professional | $19.37 | $24.04 | $25.31 | |
Molina
| Professional | $21.25 | $39.22 | $49.35 | |
United
| Professional | $11.68 | $12.10 | $19.80 |