| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.13 | $54.68 | $69.12 | |
Aetna
| Professional | $24.96 | $39.82 | $58.75 | |
Aetna
| Professional | 25 | $85.57 | $85.57 | $85.57 |
Cigna
| Professional | $43.36 | $57.81 | $83.44 | |
Moda Health
| Facility | $29.51 | $41.94 | $71.19 | |
Moda Health
| Professional | $68.31 | $82.80 | $106.10 | |
Molina
| Professional | $32.34 | $87.87 | $103.97 | |
Regence BlueShield
| Professional | $39.88 | $53.36 | $73.86 | |
United
| Professional | $48.60 | $59.40 | $83.47 |