| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.00 | $85.00 | $85.00 | |
Aetna
| Professional | $38.00 | $42.95 | $65.47 | |
Cigna
| Professional | $53.25 | $64.55 | $76.59 | |
Moda Health
| Facility | $37.93 | $54.14 | $64.41 | |
Moda Health
| Professional | $59.24 | $63.96 | $73.09 | |
Molina
| Professional | $32.34 | $34.64 | $60.62 | |
Regence BlueShield
| Facility | $71.41 | $95.55 | $116.73 | |
Regence BlueShield
| Professional | $48.63 | $58.21 | $69.91 | |
United
| Professional | $42.85 | $58.00 | $80.25 |