| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $19.98 | $32.90 | $38.38 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Moda Health
| Facility | $19.98 | $32.90 | $39.47 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Professional | $29.18 | $34.33 | $36.11 | |
United
| Professional | $26.53 | $33.04 | $46.27 |