| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.90 | $45.90 | $45.90 | |
Aetna
| Professional | $43.43 | $47.80 | $70.48 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Moda Health
| Facility | $43.43 | $49.23 | $69.04 | |
Moda Health
| Professional | $78.98 | $83.77 | $95.74 | |
Molina
| Professional | $30.00 | $55.00 | $89.51 | |
Regence BlueShield
| Professional | $62.59 | $73.63 | $75.89 | |
United
| Professional | $55.80 | $71.30 | $97.65 |