| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.30 | $72.44 | $407.38 | |
Aetna
| Professional | $15.85 | $21.88 | $45.71 | |
BCBS
| Facility | $28.84 | $60.26 | $95.50 | |
BCBS
| Professional | $20.42 | $23.99 | $131.83 | |
Cigna
| Facility | $18.62 | $50.12 | $93.33 | |
Cigna
| Professional | $11.22 | $22.91 | $34.67 | |
Moda Health
| Facility | $23.99 | $31.62 | $338.84 | |
Moda Health
| Professional | $23.99 | $25.12 | $31.62 | |
Regence BlueShield
| Facility | $36.31 | $47.86 | $87.10 | |
Regence BlueShield
| Professional | $20.42 | $20.42 | $25.12 | |
Select Health
| Professional | $23.99 | $23.99 | $39.81 | |
United
| Professional | $10.00 | $10.72 | $37.15 |