| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.65 | $144.65 | $144.65 | |
Aetna
| Professional | $14.82 | $14.82 | $144.65 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 | |
Moda Health
| Facility | $14.82 | $14.82 | $18.97 | |
Regence BlueShield
| Facility | $151.41 | $214.09 | $295.58 |