| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.72 | $73.72 | $73.72 | |
Aetna
| Professional | $48.55 | $73.72 | $97.94 | |
Cigna
| Facility | $44.33 | $44.33 | $58.13 | |
Cigna
| Professional | $37.68 | $44.33 | $94.76 | |
Moda Health
| Facility | $28.11 | $51.67 | $91.76 | |
Moda Health
| Professional | $73.20 | $77.27 | $88.53 | |
Regence BlueShield
| Facility | $85.95 | $85.95 | $142.05 | |
United
| Professional | $35.97 | $42.85 | $113.02 |