| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.19 | $58.04 | $59.84 | |
Aetna
| Professional | $53.32 | $64.34 | $82.21 | |
Cigna
| Professional | $57.73 | $57.73 | $86.20 | |
Moda Health
| Facility | $53.32 | $63.64 | $77.79 | |
Moda Health
| Professional | $98.74 | $104.72 | $125.50 | |
Molina
| Professional | $30.00 | $55.00 | $116.69 | |
Regence BlueShield
| Professional | $80.77 | $95.02 | $99.50 | |
United
| Professional | $71.12 | $91.54 | $124.73 |