| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.91 | $65.91 | $65.91 | |
Aetna
| Professional | $27.78 | $27.78 | $65.91 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Moda Health
| Facility | $27.78 | $27.78 | $35.56 | |
Regence BlueShield
| Facility | $79.05 | $103.84 | $132.86 |