| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.29 | $85.29 | $122.85 | |
Aetna
| Professional | $33.08 | $92.14 | $92.14 | |
Cigna
| Facility | $36.85 | $98.27 | $184.26 | |
Cigna
| Professional | $35.11 | $41.31 | $78.13 | |
Moda Health
| Facility | $56.86 | $92.14 | $101.35 | |
Moda Health
| Professional | $47.25 | $47.25 | $56.70 | |
Molina
| Professional | $92.14 | $92.14 | $92.14 | |
Regence BlueShield
| Facility | $70.88 | $94.50 | $170.10 | |
Regence BlueShield
| Professional | $75.00 | $83.14 | $83.14 | |
United
| Professional | $19.85 | $19.85 | $54.34 |