| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.47 | $49.47 | $49.47 | |
Cigna
| Professional | $18.98 | $18.98 | $22.34 | |
Moda Health
| Facility | $37.31 | $39.86 | $51.94 | |
Moda Health
| Professional | $25.37 | $25.37 | $37.43 | |
Molina
| Professional | $19.41 | $22.83 | $49.47 | |
Regence BlueShield
| Professional | $41.79 | $44.50 | $44.50 | |
United
| Professional | $15.22 | $18.16 | $32.95 |