| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.47 | $62.47 | $71.84 | |
Aetna
| Professional | $62.47 | $70.05 | $79.59 | |
Cigna
| Facility | $60.08 | $63.68 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
Moda Health
| Facility | $70.05 | $84.38 | $113.83 | |
Moda Health
| Professional | $63.68 | $63.68 | $79.59 | |
Regence BlueShield
| Facility | $63.68 | $63.68 | $89.22 | |
Regence BlueShield
| Professional | $70.29 | $76.42 | $76.42 | |
United
| Professional | $63.68 | $63.68 | $89.15 |