| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.29 | $101.29 | $131.71 | |
Aetna
| Professional | $30.56 | $85.12 | $85.12 | |
Cigna
| Facility | $34.04 | $90.78 | $170.22 | |
Cigna
| Professional | $32.51 | $38.25 | $80.52 | |
Moda Health
| Facility | $52.52 | $85.12 | $93.63 | |
Moda Health
| Professional | $43.65 | $43.65 | $52.38 | |
Molina
| Professional | $33.40 | $39.29 | $85.12 | |
Regence BlueShield
| Facility | $65.48 | $98.21 | $160.63 | |
Regence BlueShield
| Professional | $75.08 | $76.70 | $85.88 | |
United
| Professional | $18.32 | $25.01 | $68.38 |