| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.49 | $26.49 | $26.49 | |
Aetna
| Professional | $26.49 | $26.49 | $26.49 | |
Cigna
| Professional | $13.93 | $13.93 | $13.93 | |
Moda Health
| Facility | $39.74 | $51.66 | $56.83 | |
Moda Health
| Professional | $26.49 | $31.79 | $46.42 | |
Molina
| Professional | $51.66 | $51.66 | $51.66 | |
Regence BlueShield
| Professional | $39.79 | $39.79 | $47.32 | |
United
| Professional | $11.13 | $15.76 | $15.89 |