| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $10.00 | $15.85 | |
BCBS
| Facility | $11.22 | $16.22 | $27.54 | |
BCBS
| Professional | $19.50 | $19.50 | $19.50 | |
Cigna
| Professional | $8.71 | $8.71 | $8.71 | |
Moda Health
| Facility | $10.00 | $16.60 | $25.70 | |
Moda Health
| Professional | $8.91 | $16.60 | $17.38 | |
Regence BlueShield
| Professional | $12.30 | $12.30 | $19.50 | |
Select Health
| Professional | $17.38 | $17.38 | $17.38 | |
United
| Professional | $5.75 | $7.24 | $9.77 |