| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.92 | $56.92 | $135.51 | |
Aetna
| Professional | $40.00 | $49.50 | $70.00 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
Moda Health
| Facility | $49.50 | $52.47 | $70.79 | |
Moda Health
| Professional | $49.50 | $54.45 | $61.88 | |
Regence BlueShield
| Facility | $29.11 | $29.11 | $32.34 | |
Regence BlueShield
| Professional | $42.67 | $42.67 | $43.64 | |
United
| Professional | $49.20 | $52.25 | $60.96 |