| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $93.33 | |
Aetna
| Professional | $61.66 | $72.44 | $93.33 | |
BCBS
| Professional | $87.10 | $97.72 | $112.20 | |
Cigna
| Professional | $75.86 | $102.33 | $128.82 | |
Moda Health
| Facility | $63.10 | $79.43 | $123.03 | |
Moda Health
| Professional | $58.88 | $69.18 | $95.50 | |
Regence BlueShield
| Professional | $79.43 | $97.72 | $138.04 | |
Select Health
| Professional | $95.50 | $95.50 | $95.50 | |
United
| Professional | $61.66 | $91.20 | $131.83 |