| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.13 | $91.70 | $91.70 | |
Aetna
| Professional | $24.39 | $62.39 | $65.41 | |
Cigna
| Facility | $67.20 | $67.20 | $86.88 | |
Cigna
| Professional | $49.06 | $49.06 | $71.64 | |
Moda Health
| Facility | $32.81 | $48.89 | $95.90 | |
Moda Health
| Professional | $29.53 | $44.00 | $48.89 | |
Molina
| Professional | $30.00 | $77.72 | $92.38 | |
Regence BlueShield
| Facility | $47.47 | $47.47 | $108.16 | |
Regence BlueShield
| Professional | $34.22 | $35.69 | $51.33 | |
United
| Professional | $47.92 | $51.83 | $90.97 |