| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $20.89 | $20.89 | |
Cigna
| Professional | $229.09 | $229.09 | $229.09 | |
Moda Health
| Facility | $21.38 | $21.38 | $22.39 | |
Moda Health
| Professional | $7.94 | $20.89 | $20.89 | |
Providence
| Facility | $21.38 | $22.39 | $56.23 | |
Providence
| Professional | $79.43 | $79.43 | $229.09 | |
Regence BlueShield
| Professional | $16.60 | $17.38 | $17.38 |