| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.76 | $50.76 | $50.76 | |
Aetna
| Professional | $45.85 | $56.18 | $71.34 | |
Cigna
| Professional | $49.10 | $49.10 | $49.10 | |
Moda Health
| Facility | $50.76 | $71.34 | $91.32 | |
Moda Health
| Professional | $88.06 | $93.40 | $106.74 | |
Molina
| Professional | $30.00 | $55.00 | $98.98 | |
Regence BlueShield
| Professional | $69.34 | $81.59 | $85.84 | |
United
| Professional | $59.20 | $80.00 | $103.10 |