| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.67 | $135.52 | $160.93 | |
Aetna
| Professional | $18.07 | $50.33 | $59.89 | |
Cigna
| Facility | $25.17 | $27.35 | $100.68 | |
Cigna
| Professional | $15.82 | $29.74 | $37.17 | |
Moda Health
| Facility | $24.26 | $45.08 | $52.85 | |
Moda Health
| Professional | $25.81 | $25.81 | $30.97 | |
Regence BlueShield
| Facility | $38.72 | $58.07 | $94.98 | |
Regence BlueShield
| Professional | $21.94 | $44.23 | $45.67 | |
United
| Professional | $10.84 | $15.36 | $42.48 |