| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.88 | $51.93 | $54.24 | |
Cigna
| Facility | $57.67 | $57.67 | $61.88 | |
Cigna
| Professional | $42.10 | $42.10 | $87.06 | |
Moda Health
| Facility | $27.95 | $41.65 | $69.50 | |
Moda Health
| Professional | $25.16 | $37.49 | $41.65 | |
Molina
| Professional | $30.00 | $59.81 | $71.08 | |
Regence BlueShield
| Facility | $40.44 | $40.44 | $78.38 | |
Regence BlueShield
| Professional | $29.16 | $30.40 | $43.73 | |
United
| Professional | $41.66 | $45.05 | $71.45 |