| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.32 | $48.32 | $48.32 | |
Aetna
| Professional | $44.81 | $53.58 | $68.61 | |
Cigna
| Professional | $47.02 | $47.02 | $47.02 | |
Moda Health
| Facility | $48.32 | $68.61 | $87.82 | |
Moda Health
| Professional | $84.33 | $89.44 | $102.22 | |
Molina
| Professional | $30.00 | $48.32 | $84.56 | |
Regence BlueShield
| Professional | $66.81 | $78.59 | $83.22 | |
United
| Professional | $58.09 | $76.06 | $99.64 |