| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.95 | $23.24 | $52.92 | |
Cigna
| Professional | $12.39 | $16.94 | $29.22 | |
Moda Health
| Facility | $10.70 | $23.24 | $52.92 | |
Moda Health
| Professional | $13.88 | $28.28 | $34.28 | |
Molina
| Professional | $27.93 | $31.12 | $32.34 | |
Regence BlueShield
| Professional | $16.96 | $17.63 | $35.32 | |
United
| Professional | $16.96 | $23.50 | $38.72 |