| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.20 | $387.96 | $562.54 | |
Aetna
| Professional | $12.12 | $20.42 | $37.79 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Moda Health
| Facility | $15.78 | $23.54 | $39.68 | |
Moda Health
| Professional | $26.45 | $26.45 | $27.84 | |
Molina
| Professional | $43.15 | $48.72 | $54.29 | |
Regence BlueShield
| Professional | $19.48 | $19.48 | $29.23 | |
United
| Professional | $10.91 | $11.81 | $19.68 |