| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.98 | $44.98 | $44.98 | |
Aetna
| Professional | $43.78 | $48.33 | $70.97 | |
Cigna
| Professional | $43.15 | $43.15 | $43.15 | |
Moda Health
| Facility | $43.78 | $49.78 | $69.20 | |
Moda Health
| Professional | $77.39 | $82.08 | $93.80 | |
Molina
| Professional | $30.00 | $55.00 | $87.71 | |
Regence BlueShield
| Professional | $61.32 | $72.14 | $76.38 | |
United
| Professional | $57.35 | $72.68 | $99.70 |