| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.20 | $23.79 | $83.60 | |
Aetna
| Professional | $20.00 | $25.00 | $39.70 | |
Cigna
| Facility | $22.10 | $22.10 | $22.10 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
Moda Health
| Facility | $20.00 | $21.20 | $28.60 | |
Moda Health
| Professional | $16.50 | $16.50 | $21.00 | |
Regence BlueShield
| Facility | $26.96 | $33.45 | $46.97 | |
United
| Professional | $23.53 | $26.82 | $35.76 |