| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.38 | $100.10 | $132.88 | |
Aetna
| Professional | $10.07 | $28.04 | $28.04 | |
Cigna
| Facility | $14.03 | $15.24 | $56.10 | |
Cigna
| Professional | $8.82 | $16.52 | $20.65 | |
Moda Health
| Facility | $13.52 | $25.13 | $29.44 | |
Moda Health
| Professional | $14.38 | $14.38 | $17.26 | |
Regence BlueShield
| Facility | $21.57 | $32.36 | $52.92 | |
Regence BlueShield
| Professional | $12.22 | $24.44 | $25.18 | |
United
| Professional | $6.04 | $8.56 | $23.68 |