| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.05 | $49.05 | $49.05 | |
Aetna
| Professional | $46.62 | $64.84 | $95.95 | |
Cigna
| Professional | $45.92 | $45.92 | $45.92 | |
Moda Health
| Facility | $46.62 | $87.42 | $105.04 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Professional | $70.62 | $83.08 | $87.41 | |
United
| Professional | $63.68 | $83.18 | $114.77 |