| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.27 | $16.27 | $16.27 | |
Aetna
| Professional | $15.00 | $18.20 | $23.43 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Moda Health
| Facility | $16.27 | $23.43 | $29.99 | |
Moda Health
| Professional | $28.28 | $30.00 | $34.28 | |
Molina
| Professional | $28.47 | $30.00 | $55.00 | |
Regence BlueShield
| Professional | $22.84 | $26.87 | $28.26 | |
United
| Professional | $19.13 | $26.00 | $33.86 |