| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.86 | $23.36 | $43.23 | |
Cigna
| Professional | $16.27 | $16.27 | $16.27 | |
Moda Health
| Facility | $16.45 | $27.33 | $45.39 | |
Moda Health
| Professional | $30.27 | $30.27 | $31.86 | |
Molina
| Professional | $49.38 | $55.76 | $62.13 | |
Regence BlueShield
| Professional | $22.30 | $22.30 | $33.45 | |
United
| Professional | $12.49 | $13.51 | $22.79 |