| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.60 | $1.60 | $1.60 | |
Aetna
| Professional | $47.89 | $53.84 | $77.06 | |
Cigna
| Professional | $67.28 | $81.42 | $96.30 | |
Moda Health
| Facility | $48.25 | $67.98 | $81.40 | |
Moda Health
| Professional | $77.39 | $84.42 | $95.74 | |
Molina
| Professional | $32.34 | $69.78 | $87.79 | |
Regence BlueShield
| Facility | $110.12 | $259.17 | $332.87 | |
Regence BlueShield
| Professional | $61.74 | $74.13 | $87.86 | |
United
| Professional | $54.01 | $73.00 | $102.20 |