| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.57 | $27.91 | $51.68 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
Moda Health
| Facility | $21.57 | $32.67 | $54.26 | |
Moda Health
| Professional | $36.17 | $36.17 | $38.07 | |
Molina
| Professional | $59.01 | $66.62 | $74.23 | |
Regence BlueShield
| Professional | $26.65 | $26.65 | $39.97 | |
United
| Professional | $14.93 | $16.14 | $27.25 |