| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.15 | $46.15 | $53.28 | |
Cigna
| Professional | $47.91 | $47.91 | $47.91 | |
Moda Health
| Facility | $19.32 | $46.15 | $55.80 | |
Moda Health
| Professional | $52.08 | $85.93 | $98.95 | |
Molina
| Professional | $48.70 | $48.70 | $48.70 | |
Regence BlueShield
| Professional | $76.98 | $76.98 | $80.09 | |
United
| Professional | $52.70 | $71.98 | $97.65 |