| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $128.82 | $128.82 | |
Cigna
| Professional | $16.60 | $16.60 | $16.60 | |
Moda Health
| Professional | $41.69 | $41.69 | $128.82 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $34.67 | $39.81 | $60.26 |