| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.29 | $45.29 | $65.26 | |
Aetna
| Professional | $20.07 | $24.35 | $28.87 | |
Cigna
| Facility | $19.57 | $52.22 | $97.92 | |
Moda Health
| Facility | $21.59 | $30.20 | $51.89 | |
Moda Health
| Professional | $25.10 | $25.10 | $30.12 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $37.65 | $50.20 | $90.36 | |
Regence BlueShield
| Professional | $31.71 | $37.31 | $44.44 | |
United
| Professional | $10.54 | $11.70 | $27.85 |