| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.78 | $21.53 | $39.86 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
Moda Health
| Facility | $16.64 | $25.21 | $41.86 | |
Moda Health
| Professional | $27.91 | $27.91 | $29.38 | |
Molina
| Professional | $45.54 | $51.42 | $57.29 | |
Regence BlueShield
| Professional | $20.57 | $20.57 | $30.85 | |
United
| Professional | $11.51 | $12.46 | $21.02 |