| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.06 | $82.37 | $84.48 | |
Aetna
| Professional | $69.20 | $69.22 | $77.36 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Moda Health
| Facility | $69.22 | $73.37 | $98.98 | |
Regence BlueShield
| Facility | $107.76 | $115.85 | $165.23 | |
United
| Professional | $81.43 | $92.83 | $92.83 |