| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.11 | $26.01 | $36.28 | |
BCBS
| Professional | $27.28 | $30.79 | $30.79 | |
Cigna
| Professional | $22.50 | $34.11 | $99.29 | |
Lucent Health
| Professional | $240.00 | $240.00 | $315.30 | |
Moda Health
| Professional | $36.54 | $52.53 | $66.97 | |
Providence
| Professional | $23.48 | $35.75 | $106.41 | |
United
| Professional | $28.20 | $33.08 | $41.68 | |
Wellpoint
| Professional | $32.02 | $36.54 | $80.00 |