| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.26 | $21.00 | $21.00 | |
Aetna
| Professional | $9.26 | $12.53 | $26.58 | |
Cigna
| Professional | $21.43 | $21.43 | $21.43 | |
Moda Health
| Facility | $9.26 | $11.85 | $22.91 | |
Moda Health
| Professional | $38.43 | $40.76 | $46.58 | |
Molina
| Professional | $21.00 | $32.54 | $55.00 | |
Regence BlueShield
| Professional | $19.95 | $35.32 | $36.78 | |
United
| Professional | $10.44 | $14.50 | $25.15 |