| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.98 | $28.98 | $28.98 | |
Aetna
| Professional | $15.60 | $31.41 | $37.22 | |
Cigna
| Professional | $20.45 | $25.72 | $34.18 | |
Moda Health
| Facility | $24.63 | $30.43 | $37.22 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Professional | $42.29 | $49.75 | $51.95 | |
United
| Professional | $33.47 | $43.71 | $63.23 |