| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.28 | $25.28 | $29.39 | |
Aetna
| Professional | $26.30 | $33.11 | $47.65 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
Moda Health
| Facility | $25.06 | $35.61 | $47.11 | |
Moda Health
| Professional | $43.76 | $51.23 | $62.10 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
Regence BlueShield
| Facility | $39.53 | $47.43 | $47.43 | |
Regence BlueShield
| Professional | $37.42 | $42.08 | $47.84 | |
United
| Professional | $31.28 | $43.06 | $61.64 |