| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.72 | $40.40 | $45.98 | |
Cigna
| Professional | $67.83 | $67.83 | $74.43 | |
Moda Health
| Facility | $35.96 | $39.39 | $53.11 | |
Moda Health
| Professional | $107.44 | $107.44 | $107.44 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Professional | $54.55 | $64.18 | $64.18 | |
United
| Professional | $41.53 | $46.36 | $81.26 |