| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.00 | $56.80 | $99.20 | |
Aetna
| Professional | $11.10 | $14.22 | $32.78 | |
Cigna
| Facility | $16.39 | $17.82 | $65.58 | |
Cigna
| Professional | $7.30 | $19.41 | $24.26 | |
Moda Health
| Facility | $13.02 | $22.20 | $50.40 | |
Moda Health
| Professional | $16.80 | $17.64 | $20.17 | |
Molina
| Professional | $16.80 | $16.80 | $16.80 | |
Regence BlueShield
| Facility | $25.22 | $34.10 | $60.52 | |
Regence BlueShield
| Professional | $14.29 | $29.10 | $29.28 | |
United
| Professional | $7.06 | $7.14 | $19.73 |