| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.05 | $60.20 | $60.20 | |
Cigna
| Facility | $24.29 | $26.66 | $26.66 | |
Cigna
| Professional | $22.66 | $22.66 | $31.36 | |
Moda Health
| Facility | $12.15 | $31.75 | $60.20 | |
Moda Health
| Professional | $39.92 | $42.14 | $44.36 | |
Molina
| Professional | $31.97 | $44.36 | $68.76 | |
Regence BlueShield
| Professional | $31.05 | $31.05 | $46.58 | |
United
| Professional | $17.25 | $18.82 | $34.38 |