| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.08 | $130.08 | $886.80 | |
Aetna
| Professional | $1.47 | $2.49 | $4.59 | |
Cigna
| Professional | $1.73 | $1.73 | $1.73 | |
Moda Health
| Facility | $1.92 | $2.91 | $4.83 | |
Moda Health
| Professional | $3.22 | $3.22 | $3.39 | |
Molina
| Professional | $5.25 | $5.93 | $6.61 | |
Regence BlueShield
| Professional | $2.37 | $2.37 | $3.56 | |
United
| Professional | $1.33 | $1.44 | $2.42 |