| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.27 | $73.50 | $118.80 | |
Aetna
| Professional | $28.27 | $42.40 | $55.13 | |
Cigna
| Facility | $27.57 | $29.96 | $110.28 | |
Cigna
| Professional | $14.86 | $26.85 | $36.56 | |
Moda Health
| Facility | $26.57 | $55.13 | $58.44 | |
Moda Health
| Professional | $28.27 | $28.27 | $33.92 | |
Regence BlueShield
| Facility | $42.41 | $56.54 | $101.77 | |
Regence BlueShield
| Professional | $24.03 | $42.29 | $43.44 | |
United
| Professional | $11.87 | $14.66 | $41.88 |