| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.61 | $15.61 | $15.61 | |
Aetna
| Professional | $15.61 | $19.00 | $28.21 | |
Cigna
| Professional | $21.00 | $24.00 | $82.67 | |
Moda Health
| Facility | $15.61 | $17.89 | $24.56 | |
Moda Health
| Professional | $20.00 | $20.00 | $22.00 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Professional | $36.50 | $36.50 | $36.50 | |
United
| Professional | $52.20 | $68.15 | $92.62 |