| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $30.41 | $49.86 | |
Cigna
| Professional | $24.59 | $39.61 | $63.71 | |
Moda Health
| Facility | $18.12 | $33.72 | $56.40 | |
Moda Health
| Professional | $28.28 | $53.00 | $76.98 | |
Molina
| Professional | $32.34 | $35.11 | $68.48 | |
Regence BlueShield
| Facility | $115.83 | $217.18 | $329.06 | |
Regence BlueShield
| Professional | $22.41 | $37.88 | $65.56 | |
United
| Professional | $33.84 | $47.47 | $68.68 |