| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.86 | $223.80 | $314.16 | |
Aetna
| Professional | $4.63 | $8.36 | $70.76 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 | |
Moda Health
| Facility | $4.66 | $41.95 | $67.77 | |
Moda Health
| Professional | $9.08 | $61.59 | $109.98 | |
Molina
| Professional | $30.00 | $55.00 | $97.09 | |
Regence BlueShield
| Professional | $7.51 | $12.32 | $86.32 | |
United
| Professional | $58.21 | $80.15 | $108.79 |