| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.22 | $17.23 | $31.90 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Moda Health
| Facility | $13.31 | $20.17 | $33.50 | |
Moda Health
| Professional | $22.33 | $22.33 | $23.50 | |
Molina
| Professional | $36.43 | $41.13 | $45.83 | |
Regence BlueShield
| Professional | $16.45 | $16.45 | $24.68 | |
United
| Professional | $9.21 | $9.97 | $18.38 |