| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.24 | $100.24 | $144.40 | |
Aetna
| Professional | $38.88 | $108.30 | $108.30 | |
Cigna
| Facility | $54.15 | $58.84 | $216.60 | |
Cigna
| Professional | $52.74 | $64.02 | $80.02 | |
Moda Health
| Facility | $52.21 | $108.30 | $114.80 | |
Moda Health
| Professional | $55.54 | $55.54 | $66.65 | |
Regence BlueShield
| Facility | $83.31 | $111.08 | $199.94 | |
Regence BlueShield
| Professional | $47.21 | $95.45 | $97.78 | |
United
| Professional | $23.33 | $23.33 | $66.65 |