| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.40 | $64.31 | $785.84 | |
Aetna
| Professional | $12.14 | $15.83 | $24.50 | |
Cigna
| Facility | $10.29 | $11.18 | $41.16 | |
Cigna
| Professional | $6.54 | $12.39 | $15.49 | |
Moda Health
| Facility | $11.36 | $29.44 | $128.25 | |
Moda Health
| Professional | $10.56 | $10.56 | $17.61 | |
Molina
| Professional | $10.56 | $10.56 | $10.56 | |
Regence BlueShield
| Facility | $15.84 | $26.40 | $38.97 | |
Regence BlueShield
| Professional | $8.98 | $18.04 | $18.73 | |
United
| Professional | $4.44 | $6.29 | $17.39 |