| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.57 | $28.57 | $28.57 | |
Cigna
| Professional | $10.92 | $10.92 | $12.85 | |
Moda Health
| Facility | $10.46 | $21.98 | $31.43 | |
Moda Health
| Professional | $10.50 | $14.65 | $17.57 | |
Molina
| Professional | $11.21 | $13.19 | $28.57 | |
Regence BlueShield
| Professional | $23.47 | $25.76 | $25.76 | |
United
| Professional | $5.09 | $8.78 | $14.65 |