| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $25.96 | $94.76 | |
Aetna
| Professional | 25 | $12.30 | $12.30 | $12.30 |
Cigna
| Professional | $19.91 | $19.91 | $64.80 | |
Moda Health
| Professional | $31.62 | $33.08 | $40.10 | |
Regence BlueShield
| Professional | $28.99 | $31.40 | $32.65 | |
United
| Professional | $14.44 | $26.98 | $41.75 |