| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.47 | $48.78 | $68.93 | |
Cigna
| Professional | $27.37 | $48.97 | $88.82 | |
Moda Health
| Facility | $25.16 | $48.85 | $86.22 | |
Moda Health
| Professional | $36.29 | $57.96 | $98.33 | |
Molina
| Professional | $32.34 | $74.38 | $93.58 | |
Regence BlueShield
| Facility | $72.20 | $92.71 | $126.32 | |
Regence BlueShield
| Professional | $29.33 | $53.89 | $80.59 | |
United
| Professional | $52.15 | $68.55 | $93.88 |