| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.30 | $16.30 | $17.93 | |
Cigna
| Facility | $13.99 | $13.99 | $13.99 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Moda Health
| Facility | $13.11 | $16.30 | $23.31 | |
Moda Health
| Professional | $18.53 | $18.53 | $18.53 | |
Regence BlueShield
| Facility | $19.32 | $19.47 | $28.34 | |
United
| Professional | $13.38 | $16.05 | $45.51 |