| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.94 | $172.80 | $244.64 | |
Aetna
| Professional | $16.88 | $47.01 | $47.01 | |
Cigna
| Facility | $23.51 | $25.54 | $94.02 | |
Cigna
| Professional | $11.10 | $28.08 | $35.11 | |
Moda Health
| Facility | $20.18 | $31.54 | $49.83 | |
Moda Health
| Professional | $24.11 | $24.11 | $28.93 | |
Molina
| Professional | $24.11 | $24.11 | $24.11 | |
Regence BlueShield
| Facility | $36.17 | $52.85 | $86.80 | |
Regence BlueShield
| Professional | $20.49 | $41.32 | $42.16 | |
United
| Professional | $10.13 | $10.74 | $29.72 |