| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.79 | $249.62 | $517.32 | |
Aetna
| Professional | $3.35 | $16.01 | $55.20 | |
Cigna
| Professional | $14.28 | $14.28 | $14.28 | |
Moda Health
| Facility | $13.31 | $14.79 | $25.88 | |
Moda Health
| Professional | $25.62 | $27.18 | $31.06 | |
Regence BlueShield
| Professional | $20.72 | $24.38 | $24.38 | |
United
| Professional | $18.13 | $22.34 | $30.87 |