| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.83 | $84.83 | $122.20 | |
Aetna
| Professional | $32.90 | $91.65 | $91.65 | |
Cigna
| Facility | $36.65 | $97.76 | $183.30 | |
Moda Health
| Facility | $56.55 | $91.65 | $100.82 | |
Moda Health
| Professional | $47.00 | $47.00 | $56.40 | |
Molina
| Professional | $30.00 | $30.00 | $91.65 | |
Regence BlueShield
| Facility | $70.50 | $94.00 | $169.20 | |
Regence BlueShield
| Professional | $70.15 | $70.15 | $72.75 | |
United
| Professional | $19.73 | $19.73 | $54.05 |