| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.63 | $24.63 | $24.63 | |
Aetna
| Professional | $23.18 | $24.63 | $24.92 | |
Cigna
| Facility | $24.63 | $24.63 | $24.63 | |
Cigna
| Professional | $24.63 | $24.63 | $24.63 | |
Moda Health
| Facility | $24.63 | $26.42 | $35.64 | |
Regence BlueShield
| Facility | $23.93 | $34.19 | $56.98 |