| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.27 | $16.27 | $16.27 | |
Aetna
| Professional | $14.42 | $17.77 | $23.43 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Moda Health
| Facility | $15.07 | $21.30 | $28.12 | |
Moda Health
| Professional | $28.28 | $30.00 | $34.28 | |
Molina
| Professional | $16.27 | $30.00 | $78.00 | |
Regence BlueShield
| Professional | $22.84 | $26.87 | $28.26 | |
United
| Professional | $19.61 | $24.38 | $33.39 |