| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.89 | $70.66 | $165.36 | |
Aetna
| Professional | $44.00 | $45.23 | $86.03 | |
Cigna
| Facility | $137.76 | $137.76 | $137.76 | |
Cigna
| Professional | $16.42 | $40.60 | $50.75 | |
Moda Health
| Facility | $45.23 | $45.23 | $64.68 | |
Moda Health
| Professional | $35.33 | $35.33 | $42.40 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 | |
Regence BlueShield
| Facility | $53.00 | $70.66 | $127.19 | |
Regence BlueShield
| Professional | $30.03 | $60.53 | $62.06 | |
United
| Professional | $17.87 | $18.95 | $53.83 |