| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.99 | $67.95 | $79.95 | |
Cigna
| Professional | $61.84 | $61.84 | $69.56 | |
Moda Health
| Facility | $36.90 | $57.26 | $79.95 | |
Moda Health
| Professional | $72.06 | $76.42 | $82.97 | |
Molina
| Professional | $41.75 | $41.75 | $41.75 | |
Regence BlueShield
| Professional | $67.16 | $78.59 | $78.59 | |
United
| Professional | $54.40 | $60.00 | $84.70 |