| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.66 | $61.94 | $66.77 | |
Cigna
| Professional | $33.32 | $33.32 | $33.32 | |
Moda Health
| Facility | $48.05 | $64.14 | $75.86 | |
Moda Health
| Professional | $58.05 | $72.06 | $79.65 | |
Molina
| Professional | $21.25 | $117.58 | $147.93 | |
United
| Professional | $32.02 | $32.96 | $41.65 |