| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.42 | $78.42 | $78.42 | |
Aetna
| Professional | $41.58 | $81.03 | $90.10 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $75.05 | |
Moda Health
| Facility | $44.33 | $55.29 | $94.19 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
Regence BlueShield
| Facility | $133.32 | $177.76 | $208.10 | |
Regence BlueShield
| Professional | $97.19 | $97.19 | $97.19 | |
United
| Professional | $54.53 | $57.82 | $95.60 |