| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.39 | $14.39 | $14.39 | |
Aetna
| Professional | $9.66 | $14.39 | $23.05 | |
Cigna
| Professional | $13.47 | $13.47 | $13.47 | |
Moda Health
| Facility | $13.88 | $17.77 | $29.50 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Professional | $17.84 | $17.84 | $37.10 | |
United
| Professional | $10.01 | $10.61 | $16.68 |