| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.92 | $48.92 | $70.48 | |
Aetna
| Professional | $18.98 | $52.86 | $52.86 | |
Cigna
| Facility | $26.43 | $28.72 | $105.72 | |
Cigna
| Professional | $25.74 | $31.39 | $39.24 | |
Moda Health
| Facility | $25.48 | $52.86 | $56.03 | |
Moda Health
| Professional | $27.11 | $27.11 | $32.53 | |
Regence BlueShield
| Facility | $40.67 | $54.22 | $97.60 | |
Regence BlueShield
| Professional | $23.04 | $40.29 | $41.87 | |
United
| Professional | $11.39 | $11.39 | $40.67 |