| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.09 | $273.60 | $820.80 | |
Aetna
| Professional | $9.92 | $13.53 | $13.87 | |
Cigna
| Professional | $16.73 | $16.73 | $27.77 | |
Moda Health
| Facility | $13.87 | $124.13 | $298.06 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Professional | $14.43 | $14.43 | $15.18 | |
United
| Professional | $10.65 | $18.01 | $35.68 |