| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.07 | $102.20 | $129.36 | |
Aetna
| Professional | $16.23 | $33.68 | $33.68 | |
Cigna
| Facility | $16.85 | $18.30 | $67.38 | |
Cigna
| Professional | $7.45 | $19.82 | $24.78 | |
Moda Health
| Facility | $16.23 | $33.68 | $91.20 | |
Moda Health
| Professional | $17.27 | $17.27 | $20.72 | |
Molina
| Professional | $17.27 | $17.27 | $17.27 | |
Regence BlueShield
| Facility | $25.91 | $37.13 | $62.17 | |
Regence BlueShield
| Professional | $14.68 | $29.68 | $30.45 | |
United
| Professional | $7.25 | $10.36 | $20.72 |