| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.43 | $20.43 | $20.43 | |
Aetna
| Professional | $19.22 | $20.43 | $20.67 | |
Cigna
| Facility | $20.43 | $20.43 | $20.43 | |
Cigna
| Professional | $20.43 | $20.43 | $20.43 | |
Moda Health
| Facility | $20.43 | $21.91 | $29.56 | |
Regence BlueShield
| Facility | $19.25 | $27.50 | $46.74 |