| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.88 | $95.15 | $111.36 | |
Aetna
| Professional | $22.64 | $36.11 | $55.88 | |
Cigna
| Facility | $23.48 | $25.51 | $93.90 | |
Cigna
| Professional | $14.75 | $27.67 | $34.59 | |
Moda Health
| Facility | $22.64 | $46.96 | $156.40 | |
Moda Health
| Professional | $24.08 | $24.08 | $28.90 | |
Molina
| Professional | $24.08 | $24.08 | $24.08 | |
Regence BlueShield
| Facility | $36.11 | $54.18 | $88.61 | |
Regence BlueShield
| Professional | $20.47 | $41.32 | $42.16 | |
United
| Professional | $10.11 | $14.33 | $39.64 |