| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.40 | $36.40 | $58.43 | |
Aetna
| Professional | $36.40 | $54.45 | $73.15 | |
Cigna
| Professional | $57.14 | $57.14 | $57.14 | |
Moda Health
| Facility | $37.01 | $56.97 | $74.09 | |
Moda Health
| Professional | $62.45 | $75.70 | $124.22 | |
Molina
| Professional | $30.00 | $55.00 | $113.94 | |
Regence BlueShield
| Facility | $150.38 | $268.02 | $416.39 | |
Regence BlueShield
| Professional | $52.86 | $74.30 | $96.72 | |
United
| Professional | $67.48 | $91.63 | $119.46 |