| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.69 | $9.69 | $9.69 | |
Aetna
| Professional | $5.70 | $9.69 | $13.47 | |
Cigna
| Professional | $9.07 | $9.07 | $9.07 | |
Moda Health
| Facility | $9.60 | $10.22 | $13.47 | |
Moda Health
| Professional | $36.00 | $36.00 | $36.00 | |
Molina
| Professional | $30.00 | $55.00 | $3,500.00 | |
United
| Professional | $6.74 | $7.09 | $7.15 |