| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.13 | $31.13 | $31.13 | |
Aetna
| Professional | $28.81 | $35.14 | $44.53 | |
Cigna
| Professional | $29.76 | $29.76 | $29.76 | |
Moda Health
| Facility | $31.13 | $44.53 | $57.00 | |
Moda Health
| Professional | $53.38 | $56.61 | $64.70 | |
Molina
| Professional | $30.00 | $54.48 | $60.70 | |
Regence BlueShield
| Professional | $42.71 | $50.25 | $52.86 | |
United
| Professional | $37.36 | $50.50 | $65.15 |