| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.09 | $35.09 | $63.32 | |
Aetna
| Professional | $33.52 | $33.52 | $68.43 | |
Cigna
| Facility | $27.37 | $72.98 | $136.86 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
Moda Health
| Facility | $42.21 | $68.43 | $75.27 | |
Moda Health
| Professional | $35.09 | $35.09 | $42.11 | |
Molina
| Professional | $68.43 | $68.43 | $68.43 | |
Regence BlueShield
| Facility | $52.64 | $70.18 | $126.32 | |
Regence BlueShield
| Professional | $52.24 | $52.24 | $62.40 | |
United
| Professional | $14.74 | $20.22 | $48.14 |