| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.11 | $61.11 | $88.04 | |
Aetna
| Professional | $23.70 | $66.03 | $66.03 | |
Cigna
| Facility | $132.06 | $132.06 | $132.06 | |
Moda Health
| Facility | $40.74 | $66.03 | $72.63 | |
Moda Health
| Professional | $33.86 | $34.54 | $40.63 | |
Molina
| Professional | $30.00 | $30.00 | $66.03 | |
Regence BlueShield
| Facility | $50.79 | $67.72 | $121.90 | |
Regence BlueShield
| Professional | $50.75 | $50.75 | $52.34 | |
United
| Professional | $14.22 | $14.22 | $33.86 |