| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.49 | $62.56 | $128.04 | |
Aetna
| Professional | $16.84 | $46.92 | $46.92 | |
Cigna
| Facility | $23.46 | $25.49 | $93.84 | |
Cigna
| Professional | $10.80 | $27.67 | $34.59 | |
Moda Health
| Facility | $19.72 | $30.81 | $49.74 | |
Moda Health
| Professional | $24.06 | $25.26 | $28.87 | |
Regence BlueShield
| Facility | $36.09 | $51.62 | $86.62 | |
Regence BlueShield
| Professional | $20.45 | $41.32 | $42.16 | |
United
| Professional | $10.11 | $10.50 | $29.04 |