| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $20.32 | $33.22 | |
Aetna
| Professional | CQ | $17.46 | $17.46 | $17.46 |
Cigna
| Professional | $27.33 | $35.81 | $113.94 | |
Moda Health
| Professional | $33.33 | $49.10 | $59.52 | |
Molina
| Professional | $32.34 | $32.34 | $48.86 | |
Regence BlueShield
| Professional | $27.69 | $32.58 | $42.88 | |
United
| Professional | $25.19 | $27.26 | $29.95 |