| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.65 | $87.65 | $4,000.00 | |
Aetna
| Professional | $30.00 | $40.96 | $140.63 | |
Cigna
| Professional | $31.80 | $46.14 | $65.20 | |
Moda Health
| Facility | $27.73 | $40.96 | $65.93 | |
Moda Health
| Professional | $33.21 | $48.40 | $56.28 | |
Molina
| Professional | $26.76 | $32.34 | $46.83 | |
Regence BlueShield
| Professional | $36.79 | $43.28 | $61.53 | |
United
| Professional | $33.72 | $44.62 | $60.52 |