| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.20 | $35.20 | $51.06 | |
Aetna
| Professional | $33.09 | $51.06 | $70.61 | |
Cigna
| Professional | $49.99 | $49.99 | $59.43 | |
Moda Health
| Facility | $34.57 | $48.50 | $66.38 | |
Moda Health
| Professional | $60.85 | $76.30 | $108.68 | |
Molina
| Professional | $30.00 | $55.00 | $99.57 | |
Regence BlueShield
| Professional | $52.13 | $63.84 | $85.57 | |
United
| Professional | $68.40 | $95.00 | $116.99 |