| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.90 | $45.90 | $45.90 | |
Aetna
| Professional | $40.94 | $48.74 | $67.63 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Moda Health
| Facility | $41.31 | $65.48 | $80.33 | |
Moda Health
| Professional | $78.98 | $83.77 | $95.74 | |
Molina
| Professional | $30.00 | $55.00 | $89.51 | |
Regence BlueShield
| Professional | $62.59 | $73.63 | $75.89 | |
United
| Professional | $57.72 | $70.20 | $98.28 |