| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Moda Health
| Professional | $12.00 | $12.00 | $79,999.20 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |