| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.16 | $51.30 | $51.30 | |
Aetna
| Professional | $26.70 | $53.09 | $78.81 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
Moda Health
| Facility | $41.09 | $53.09 | $83.68 | |
Moda Health
| Professional | $51.78 | $62.76 | $109.34 | |
Molina
| Professional | $30.00 | $55.00 | $107.15 | |
Regence BlueShield
| Facility | $93.42 | $116.91 | $174.96 | |
Regence BlueShield
| Professional | $78.92 | $108.95 | $120.38 | |
United
| Professional | $64.02 | $80.19 | $109.00 |