| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.00 | $91.00 | $119.73 | |
Aetna
| Professional | $30.63 | $51.89 | $61.74 | |
Cigna
| Professional | $19.77 | $19.77 | $23.26 | |
Moda Health
| Facility | $39.92 | $49.45 | $59.11 | |
Moda Health
| Professional | $26.61 | $27.94 | $46.42 | |
Molina
| Professional | $20.36 | $23.95 | $51.89 | |
Regence BlueShield
| Professional | $45.98 | $46.84 | $52.10 | |
United
| Professional | $15.97 | $22.51 | $37.25 |