| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.98 | $43.31 | $43.31 | |
Cigna
| Facility | $30.91 | $30.91 | $41.36 | |
Cigna
| Professional | $22.56 | $30.91 | $31.84 | |
Moda Health
| Facility | $15.93 | $34.84 | $49.46 | |
Moda Health
| Professional | $44.51 | $46.99 | $49.46 | |
Molina
| Professional | $30.00 | $36.49 | $43.47 | |
Regence BlueShield
| Facility | $43.31 | $48.30 | $72.45 | |
Regence BlueShield
| Professional | $34.61 | $34.61 | $51.93 | |
United
| Professional | $22.81 | $24.67 | $38.32 |