| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.54 | $57.34 | $61.83 | |
Cigna
| Professional | $30.85 | $30.85 | $30.85 | |
Moda Health
| Facility | $41.60 | $59.39 | $70.23 | |
Moda Health
| Professional | $53.74 | $66.72 | $73.73 | |
Molina
| Professional | $30.00 | $50.20 | $122.90 | |
United
| Professional | $29.65 | $30.52 | $32.07 |