| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.89 | $40.24 | $74.48 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Moda Health
| Facility | $31.10 | $47.10 | $78.20 | |
Moda Health
| Professional | $52.15 | $52.15 | $54.89 | |
Molina
| Professional | $85.08 | $96.06 | $107.04 | |
Regence BlueShield
| Professional | $38.42 | $38.42 | $57.63 | |
United
| Professional | $21.52 | $23.27 | $39.28 |