| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.15 | $32.76 | $110.99 | |
Aetna
| Professional | $11.84 | $13.99 | $24.57 | |
Cigna
| Facility | $12.29 | $13.35 | $49.14 | |
Cigna
| Professional | $6.39 | $14.46 | $30.87 | |
Moda Health
| Facility | $11.84 | $24.57 | $35.14 | |
Moda Health
| Professional | $12.60 | $13.23 | $15.12 | |
Molina
| Professional | $12.60 | $12.60 | $12.60 | |
Regence BlueShield
| Facility | $18.89 | $28.35 | $46.37 | |
Regence BlueShield
| Professional | $10.71 | $21.53 | $22.25 | |
United
| Professional | $5.29 | $6.28 | $17.95 |