| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.38 | $18.38 | $35.11 | |
Aetna
| Professional | $18.32 | $29.60 | $39.63 | |
Cigna
| Professional | $34.52 | $34.52 | $34.52 | |
Moda Health
| Facility | $18.32 | $33.29 | $43.19 | |
Moda Health
| Professional | $31.48 | $53.42 | $75.04 | |
Molina
| Professional | $30.00 | $55.00 | $68.48 | |
Regence BlueShield
| Facility | $150.38 | $268.02 | $416.39 | |
Regence BlueShield
| Professional | $26.61 | $44.38 | $58.21 | |
United
| Professional | $40.70 | $55.59 | $69.63 |