| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.66 | $22.66 | $22.66 | |
Aetna
| Professional | $19.43 | $19.43 | $22.66 | |
Cigna
| Professional | $22.32 | $22.32 | $22.32 | |
Moda Health
| Facility | $20.39 | $27.77 | $34.17 | |
Moda Health
| Professional | $40.03 | $42.46 | $44.88 | |
Molina
| Professional | $30.00 | $30.00 | $44.19 | |
Regence BlueShield
| Professional | $35.59 | $35.82 | $47.84 | |
United
| Professional | $15.81 | $17.55 | $36.89 |