| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.46 | $45.46 | $45.46 | |
Aetna
| Professional | $42.78 | $45.46 | $45.99 | |
Cigna
| Facility | $45.46 | $45.46 | $45.46 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 | |
Moda Health
| Facility | $45.46 | $48.75 | $65.77 | |
Regence BlueShield
| Facility | $47.24 | $70.86 | $120.46 |