| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.14 | $95.14 | $137.05 | |
Aetna
| Professional | $36.90 | $49.55 | $60.62 | |
Cigna
| Facility | $41.11 | $55.84 | $205.56 | |
Cigna
| Professional | $50.05 | $60.71 | $75.89 | |
Moda Health
| Facility | $49.55 | $102.78 | $108.95 | |
Moda Health
| Professional | $52.71 | $52.71 | $63.25 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 | |
Regence BlueShield
| Facility | $79.06 | $105.42 | $189.76 | |
Regence BlueShield
| Professional | $44.80 | $78.61 | $81.65 | |
United
| Professional | $22.14 | $22.14 | $84.34 |