| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.24 | $41.51 | $65.66 | |
Cigna
| Facility | $29.06 | $29.06 | $31.16 | |
Cigna
| Professional | $24.70 | $24.70 | $36.34 | |
Moda Health
| Facility | $13.24 | $34.61 | $65.66 | |
Moda Health
| Professional | $43.54 | $45.96 | $48.38 | |
Molina
| Professional | $34.87 | $48.38 | $84.67 | |
Regence BlueShield
| Professional | $33.86 | $33.86 | $50.80 | |
United
| Professional | $18.80 | $20.51 | $60.56 |