| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.11 | $42.31 | $78.31 | |
Cigna
| Professional | $31.73 | $31.73 | $31.73 | |
Moda Health
| Facility | $32.69 | $57.71 | $90.07 | |
Moda Health
| Professional | $54.82 | $54.82 | $57.71 | |
Molina
| Professional | $89.45 | $100.99 | $112.53 | |
Regence BlueShield
| Professional | $40.40 | $40.40 | $60.60 | |
United
| Professional | $25.07 | $26.35 | $41.96 |