| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.54 | $48.25 | $52.53 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $52.17 | $55.62 | |
Moda Health
| Facility | $18.91 | $30.78 | $50.66 | |
Moda Health
| Professional | $23.37 | $34.83 | $38.70 | |
Molina
| Professional | $30.00 | $55.57 | $66.03 | |
Regence BlueShield
| Facility | $37.58 | $37.58 | $72.81 | |
Regence BlueShield
| Professional | $27.09 | $28.25 | $40.64 | |
United
| Professional | $39.40 | $41.86 | $66.40 |