| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.26 | $20.26 | $20.26 | |
Aetna
| Professional | $20.26 | $26.65 | $39.51 | |
Cigna
| Professional | $10.65 | $10.65 | $10.65 | |
Moda Health
| Facility | $30.39 | $39.51 | $43.46 | |
Moda Health
| Professional | $20.26 | $24.31 | $35.50 | |
Molina
| Professional | $15.50 | $18.23 | $39.51 | |
Regence BlueShield
| Professional | $30.35 | $30.35 | $35.88 | |
United
| Professional | $8.51 | $12.05 | $19.25 |